Behavioral Case Manager (Social Worker)

Location: Eau Claire, WI
Great opportunity for a Behavioral Case Manager (Social Worker) in the western area of Wisconsin.

Responsibilities of the Behavioral Case Manager:
  • As a team member in Integrated Case Management, you will be working with members identified as high risk 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, 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 Integrated Case Management functions.
  • Collaborate with both medical and behavioral providers to ensure optimal care for members.
  • Work primarily telephonically with patients 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.
  • Empower patients to help them improve their quality of life and ensure an integrated approach to address complex issues. 
  • May  be some opportunity to engage with members in the field or at point of care delivery.
  • Understand and comply with NCQA guidelines and HEDIS measures.
  • Comply with established referral, pre-certification and authorization policies, procedures and processes by related Medical Management staff.

Requirements of the Behavioral Case Manager:
  • Master’s degree in behavioral health and an unrestricted license as a LCSW, LMFT or LPC, , LMHC, or a PhD, PsyD or RN. 
  • (Must be licensed)
  •  3+ years of case and/or utilization management experience is required (can be in a clinical setting or a managed care setting)
  •  Experience in psychiatric and medical health care settings. Working knowledge of mental health community resources. 

Elaine Zanetas
Full Cycle Healthcare Recruiter
Healthcare Employment Partners
Boston office:
617 307-7778
Toll free: 855 423-7633 ext. 220
Fax: 855 423-7634