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Blue Cross and Blue Shield of Illinois, Montana, N Behavioral Hlth Case Mgt Coordinator (Richardson, TX) in Richardson, Texas

Description:

We are the Health Care Management division of HCSC — a team of dedicated nurses, doctors and other clinicians. Everything we do, and every decision we make, aims to help our members live their most healthy lives. We treat the whole person with integrated pharmacy, physical and mental health care benefits.

We’re also tackling the social determinants of health by creating non-clinical partnerships in the communities where we work and live, because everyone should have access to quality health care. We use innovative tools and approaches to help members get the most out of their plan benefits, as affordably as possible. We are more than a health care insurer and we are truly anchored in our purpose: to do everything in our power to stand by our members in sickness and in health.

This role can be either in office or work from home dependent on hiring manager’s discretion

There are 2 openings for this position; this role supports one of our custom accounts

JOB PURPOSE:

This position is responsible for performing behavioral health case management in accordance with accepted department criteria; consulting with physicians, providers, members, and other resources to assess, plan, facilitate, coordinate, monitor, evaluate, and advocate options and services required to meet an individuals and familys comprehensive health needs; using communication and available resources to promote quality, cost effective outcomes; serving as liaison to providers, physicians, and members.

REQUIRED JOB QUALIFICATIONS:* Registered Nurse (RN) OR Masters-level Behavioral Health Professional or Doctoral degree in a Behavioral Health field (LCSW, LPC, Licensed PhD Psychologist) with a license to practice at the independent level in this field. Current, valid, unrestricted clinical license in good standings in state of operations. * 2 years of experience of direct clinical care to the consumer.* Discharge planning or managed care experience.* Customer service oriented.* PC and database experience.* Verbal and written communication skills.

PREFERRED JOB QUALIFICATIONS* Case Management Certification (CCM). * 3 years clinical practice experience. * Familiarity with ancillary services, for example, wellness or community based programs (housing, family support services).* Provider side insurance experience.* Familiarity with Utilization Management or Case Management activities and standardized criteria sets.

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Location: TX - Richardson

Activation Date: Wednesday, September 16, 2020

Expiration Date: Saturday, October 10, 2020

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