RN Field Behavioral Health Case Manager

RN Field Behavioral Health Case Manager will work 70% in the field and 30% remote. The patient members that they will be assessing are dual eligible Medicare/ Medicaid. There duties include; day-to-day operations of the High Risk Case Management functions to include working with members identified as high risk to identify needs and goals to achieve empowerment and improved quality of life. RN Field Behavioral Health Case Manager assess members’ current functional level and, in collaboration with the member, develop and monitor the Case Management Treatment Plan, monitor quality of care; assisting with discharge planning, participating in special clinical projects and communicate with departmental and plan administrative staff to facilitate daily operations of the High Risk Case Management functions. Collaborate with both medical and behavioral providers to ensure optimal care for members. 

Daily Responsibilities: 

• RN Field Behavioral Health Case Manager will be responsible for the Lucas County patient members’

• Work telephonically with patients identified as high risk to identify needs, set goals and implement action steps towards achieving goals. 

• Empower patients to help them improve their quality of life. 

• Comply with established referral, pre-certification and authorization policies, procedures and processes by related Medical Management staff.

• RN Field Behavioral Health Case Manager participate in on-going communication between case management staff, utilization management staff, health plan partners and contracted providers.

• RN Field Behavioral Health Case Manager will assist with the implementation of policies and procedures regarding case management and utilization management functions.

• Working with these members to identify needs and goals to achieve improved quality of life.

• Maintain HIPAA compliance.