Case Manager, Behavioral Health- MSW, LCSW MD

Company: Kaiser Permanente Zion Medical Center
Location: Hyattsville
Posted on: May 22, 2023

Job Description:

$10,000 Sign On Bonus Eligible! The case manager is experienced in behavioral health and addictions social work. The case manager is responsible for applying specialized care management techniques in the clinical management of intensive, chronic, or complex cases and when an individual (child or adult) experiences barriers to recovery. Works with all age groups to coordinate service delivery, develop patient-centered and goal focused care plans and provides coaching and support to reduce risk and promote health and wellness. Essential Responsibilities:

• Completes assessments by gathering information from the member, family, provider, state and local agencies, and other stakeholders according to departments guidelines and timeframes.
• Coordinates, manages, and evaluates services to ensure that they are consistent with the comprehensive plan of care and are delivered in a manner that demonstrate high quality and cost effectiveness
• Supports Behavioral Health Quality Assurance Activities including but not limited to meeting HEDIS Targets and reducing Inpatient Readmission rates
• Coordinates care across the care continuum for members receiving behavioral health and substance abuse services
• Develops, implements, monitors and evaluates a comprehensive care plan in collaboration with member, family/caregivers, providers, state and local agencies
• Works as a liaison to arrange and coordinate services with community partners including state and local agencies for care coordination, referrals and treatment arrangements which may occur as a KP covered service, carved out service or under a waiver program
• Participates in meetings with behavioral health providers to inform them of case management services and benefits available to the members
• Maintain current and accurate documentation of contacts, treatment plans, case notes, referrals and assessments in the electronic health record (HealthConnect). Tracking elements are entered in the Case Module of HealthConnect
• Resolves telephone and written inquiries from members and consultants
• Maintains and updates knowledge of treatment approaches, philosophies and techniques for Mental Health/Behavioral Health diagnostic categories
• Maintains a list of providers, agencies and programs that can benefit the member. These include KP, network, carved out/ excluded services and waiver programs
• Maintains knowledge of current DSM and CPT coding categories
• Knowledgeable of current medical and case management standards in the community, recent innovations in patient care, and availability of alternative community, local, state, and federal resources
• Performs other related job duties as requested. Basic Qualifications: Experience
  • Minimum five (5) years of recent experience (within the past seven (7) years) in behavioral health care required.
  • Minimum two (2) years of experience (within the past five (5) years) in case management required.
  • Minimum one (1) year of experience and the ability to communicate effectively with consultants, members, and providers. Education
    • Masters degree in social work required. License, Certification, Registration
      • This job requires credentials from multiple states. Credentials from the primary work state are required before hire. Additional Credentials from the secondary work state(s) are required post hire.
        • Licensed Certified Social Worker (Maryland) within 6 months of hire
          • Licensed Social Worker (District of Columbia) within 6 months of hire
            • Social Worker License (Virginia) within 6 months of hire
              • Case Manager Certificate within 72 months of hire from Commission for Case Managers Certification Additional Requirements:
                • Knowledge of Behavioral Health Case Management theory and techniques required.
                • Ability to work independently required.
                • Requires the ability to work as part of a dynamic, professional health care team.
                • Demonstrated ability to manage multiple priorities required.
                • Requires an understanding of and ease of use with computer, an intermediate understanding of standard database and spreadsheet software (Excel) as well as Word Processing software (Word).
                • Requires the ability to handle sensitive and confidential information. Preferred Qualifications:
                  • Experience in both ambulatory and in-patient setting preferred.
                  • Experience working with dual diagnosed patients preferred.
                  • Experience and working knowledge of Community Service Boards preferred.
                  • Experience with motivational interviewing preferred.

Keywords: Kaiser Permanente Zion Medical Center, Silver Spring , Case Manager, Behavioral Health- MSW, LCSW MD, Executive , Hyattsville, Maryland