Case Manager Team Lead at Kapolei

Job Description

The Case Manager – Team Lead is responsible for overseeing and monitoring the day-to-day workflow of the CM and CC functions.  The Case Manager  - Team Lead will be a resource person to team members and Plan case managers, providing support and assistance in application of Beacon’s level of care criteria, scheduling, answering questions about policies and procedures and being available to handle and train staff on difficult calls.  The Team Lead, in conjunction with the Clinical Manager and Program Director will identify training needs for other staff members, assist the clinical department in reaching contractual goals, performance objectives and support the organizational goals of customer service, efficient utilization management, organizational competency and value added case management. 

General Competencies:

Works under minimal supervision and relies on significant experience and the exercise of judgment in the application of knowledge to the solution of difficult tasks. Consults with Supervisor and Manager on the more difficult and complex cases.

 

Responsibilities:

• Quality oversight of completed assessments and care planning, including determination of level of care decision making. 
• Maintain caseload of lower-level of care members to ensure care needs are met and provide members with referrals and resources
• Conduct telephonic assessment and develop an individual care plan with interventions based on bio-psychosocial assessment/care plan outcome.
• Assist and collaborate regarding interventions and identified barriers to treatment.
• Consults with physicians, mental health providers and other community service programs to facilitate care coordination.
• Re-evaluates intervention outcomes and makes recommendation for modified or updated strategies to achieve care plan goals.
• Works collaboratively with counterparts on member outreach, engagement and program materials.
• Participates in development of product design and modification of workflows and program materials.
• Ensures program guidelines are followed and timeliness criteria are met.
• Assumes other duties/projects as assigned.

Job Requirements

Skills:

A minimum of 3-5 years combined direct behavioral health, supervisory and/or managed care experience required. Leadership skills and supervisory experience, including the ability to develop team performance.

Excellent written and oral communication skills. Self-motivated, able to prioritize multiple issues, excellent organizational skills, ability to track multiple projects/tasks and follow through as needed. Advanced level of PC skills required

Qualifications / Education:

Case Managers are required to be educated in current principles, procedures and knowledge domains of case management based on nationally recognized standards of case management.

Master’s degree or higher in a health related field and licensure as a behavioral health professional.

Licensed behavioral health clinician/nurse who has Certification as a Case Manager is preferred.

Current, valid and unrestricted Hawaii licensure for practice required with proof on date of hire. Re-verification will take place no less than every 3 years.

Required to be educated in current principles, procedures and knowledge of behavior health.  They must be an independently licensed behavioral health clinician and practice within the scope of their licensure with a minimum of 3-5 years behavioral health /managed care experience

Country: USA, State: Hawaii, City: Kapolei, Company: Beacon Health Strategies.