Behavioral Health Case Manager - Medicaid

16 days ago
United States$73k–117kFull TimeHealthcare Administration

Job Description

About the Role

Join Blue Cross and Blue Shield of North Carolina as a Behavioral Health Case Manager - Medicaid in United States.

Key Responsibilities

  • Serve as a team member on a multidisciplinary D
  • SNP team, coordinating care, resources and/or services for members to achieve optimal clinical and resource outcomes.
  • Develop a member
  • centric plan tailored to members’ needs, health status, educational status and level of support needs; identify barriers to meeting goals or plan of care

Requirements

  • Must have and maintain a valid and applicable clinical license (NC or compact multi
  • state licensure) to perform described job duties
  • For some roles, additional specialty certification (i. e. CCM, CDCES) may be required. If so, incumbents must obtain relevant certification within 2 years of employment Bonus Points D
  • SNP experience What You’ll Get The opportunity to work at the cutting edge of health care delivery with a team that’s deeply invested in the community Work

Benefits & Compensation

  • May evaluate medical necessity and appropriateness of services as defined by department.
  • As needed, develop relevant policies/procedures, education or training for use both internally and externally. What You'll Bring
  • RN, RD or LCSW with 3 years of clinical and/or case management experience required
  • For Behavioral Health specific roles, other applicable licensure may be considered with a minimum of 3 years of clinical experience

Work Schedule

  • Full-time position.
  • No explicit call, weekend, or night shift information provided.

Apply to join Blue Cross and Blue Shield of North Carolina as a Behavioral Health Case Manager - Medicaid.

Key Skills

Care Plan DevelopmentCare PlanningClinical OutcomesHealth CareHealthcare Utilization ManagementMedicaidNursing FundamentalsPatient AdvocacyPatient CarePatient Care CoordinationPatient EvaluationsClinical SkillsetDischarge PlanningResource UtilizationTreatment Planning
HealthcareSocial Servicesvia Workday

Position Insights

WeekdayDoc rates Behavioral Health Case Manager - Medicaid at Blue Cross and Blue Shield of North Carolina a 2.0/10 for work-life balance — below average.

Compensation ranges from $73k to $117k annually.

Key skills for this role include Care Plan Development, Care Planning, Clinical Outcomes, Health Care, Healthcare Utilization Management.

Benefits include Medical, Dental, Vision, Health and wellness programs, Parental leave and support.

Blue Cross and Blue Shield of North Carolina logo

About Blue Cross and Blue Shield of North Carolina

Insurance
Durham, NC
2-5

Benefits & Perks

Medical
Dental
Vision
Health and wellness programs
Parental leave and support
Adoption and surrogacy assistance
Career development programs
Tuition reimbursement
2.0

Work-Life Balance Score

Below Average

Job Details

Employment Type

Full Time

Posted

16d ago