Harris Health
Overview
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Behavioral Health Case Manager
role at
Harris Health
About Us
Community Health Choice, Inc. (Community) is a non-profit Managed Care Organization (MCO), licensed by the Texas Department of Insurance. Through its network of more than 10,000 providers and 94 hospitals, Community serves over 400,000 members with the following programs:
Medicaid State of Texas Access Reform (STAR) program for low-income children and pregnant women
Children’s Health Insurance Program (CHIP)
Health Insurance Marketplace plans offering individual coverage with preventive care, emergency services, prescriptions, and hospitalization
Community Health Choice (HMO D-SNP), a Medicare Advantage Dual Special Needs plan
Improving Members\' experiences is central to every Community position. We strive daily to ensure Members have access to high-quality health care. Community is URAC accredited for health plan operations and offers care management programs for asthma, diabetes, and high-risk pregnancy. An affiliate of the Harris Health System (Harris Health), Community is financially self-sufficient and receives no financial support from Harris Health or Harris County taxpayers.
Job Summary Perform duties related to the day-to-day operations of the Behavioral Health Team. Case Management works with high-risk Members to identify needs and goals to achieve empowerment and improved quality of life for both behavioral and physical health issues. Assess Members\' current functional level and, in collaboration with the Member, develop and monitor the Case Management Care Plan, quality of care; assist with discharge planning, participate in special clinical projects, and communicate with departmental and plan administrative staff to facilitate daily operations of the Behavioral Health Case Management functions. Collaborate with both medical and behavioral providers, often onsite at hospitals or in the community, to ensure optimal care for Members. Work telephonically with patients and their Legal Authorized Representative identified as high risk, for both behavioral and physical health issues, and their providers to identify needs, set goals and implement action steps towards achieving goals. Understand and comply with NCQA/URAC guidelines and HEDIS measures.
Minimum Qualifications
Education/Specialized Training/Licensure: Master\'s Degree in Social Work or Counseling
Current unrestricted license in the state of Texas: LCSW, LMSW, LMFT or LPC
Work Experience: 2 years in managed care or hospital setting and 2 years in behavioral health case management preferred
Equipment Operated: Advanced PC knowledge, MS Word, MS Excel, MS Outlook, and excellent telephone skills
Special Requirements
Communication Skills: Above Average Verbal (Heavy Public Contact); Exceptional Verbal (Public Speaking); Writing / Composing (Correspondence / Reports)
Other Skills: Medical Terminology; Typing; PC; MS Word; MS Excel
Advanced Education: LMSW, LCSW, LPC; Master\'s Degree in Social Work or Counseling
Work Schedule: Flexible
Travel: Available
Other Requirements: Excellent organization, coordination, and multi-tasking skills. Ability to organize and prioritize tasks and work independently. Strong attention to detail and deadlines. May travel locally to hospitals as requested by manager or medical director when high risk or high-utilizing member is inpatient.
Responsibilities & Reporting
Responsible To: Supervisor/Manager
Employee Supervised: None
Seniority level
Entry level
Employment type
Full-time
Job function
Other
Industries
Hospitals and Health Care
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Houston, TX .
Houston, TX $39,000.00-$43,000.00 1 month ago
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Behavioral Health Case Manager
role at
Harris Health
About Us
Community Health Choice, Inc. (Community) is a non-profit Managed Care Organization (MCO), licensed by the Texas Department of Insurance. Through its network of more than 10,000 providers and 94 hospitals, Community serves over 400,000 members with the following programs:
Medicaid State of Texas Access Reform (STAR) program for low-income children and pregnant women
Children’s Health Insurance Program (CHIP)
Health Insurance Marketplace plans offering individual coverage with preventive care, emergency services, prescriptions, and hospitalization
Community Health Choice (HMO D-SNP), a Medicare Advantage Dual Special Needs plan
Improving Members\' experiences is central to every Community position. We strive daily to ensure Members have access to high-quality health care. Community is URAC accredited for health plan operations and offers care management programs for asthma, diabetes, and high-risk pregnancy. An affiliate of the Harris Health System (Harris Health), Community is financially self-sufficient and receives no financial support from Harris Health or Harris County taxpayers.
Job Summary Perform duties related to the day-to-day operations of the Behavioral Health Team. Case Management works with high-risk Members to identify needs and goals to achieve empowerment and improved quality of life for both behavioral and physical health issues. Assess Members\' current functional level and, in collaboration with the Member, develop and monitor the Case Management Care Plan, quality of care; assist with discharge planning, participate in special clinical projects, and communicate with departmental and plan administrative staff to facilitate daily operations of the Behavioral Health Case Management functions. Collaborate with both medical and behavioral providers, often onsite at hospitals or in the community, to ensure optimal care for Members. Work telephonically with patients and their Legal Authorized Representative identified as high risk, for both behavioral and physical health issues, and their providers to identify needs, set goals and implement action steps towards achieving goals. Understand and comply with NCQA/URAC guidelines and HEDIS measures.
Minimum Qualifications
Education/Specialized Training/Licensure: Master\'s Degree in Social Work or Counseling
Current unrestricted license in the state of Texas: LCSW, LMSW, LMFT or LPC
Work Experience: 2 years in managed care or hospital setting and 2 years in behavioral health case management preferred
Equipment Operated: Advanced PC knowledge, MS Word, MS Excel, MS Outlook, and excellent telephone skills
Special Requirements
Communication Skills: Above Average Verbal (Heavy Public Contact); Exceptional Verbal (Public Speaking); Writing / Composing (Correspondence / Reports)
Other Skills: Medical Terminology; Typing; PC; MS Word; MS Excel
Advanced Education: LMSW, LCSW, LPC; Master\'s Degree in Social Work or Counseling
Work Schedule: Flexible
Travel: Available
Other Requirements: Excellent organization, coordination, and multi-tasking skills. Ability to organize and prioritize tasks and work independently. Strong attention to detail and deadlines. May travel locally to hospitals as requested by manager or medical director when high risk or high-utilizing member is inpatient.
Responsibilities & Reporting
Responsible To: Supervisor/Manager
Employee Supervised: None
Seniority level
Entry level
Employment type
Full-time
Job function
Other
Industries
Hospitals and Health Care
Referrals increase your chances of interviewing at Harris Health by 2x
Get notified about new Case Manager jobs in
Houston, TX .
Houston, TX $39,000.00-$43,000.00 1 month ago
We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.
#J-18808-Ljbffr