Behavioral Health Care Manager in Hanover, MD

$80K - $100K(Ladders Estimates)

Johns Hopkins Healthcare   •  

Hanover, MD 21076

Industry: Hospitals & Medical Centers

  •  

5 - 7 years

Posted 51 days ago

The Behavioral Health Care Manager anticipates and coordinates care / services / health education for targeted member populations with chronic disease conditions or high cost specialty care. She/he demonstrates knowledge of complex case management, prognosis and outcomes, and is responsible for ensuring that member goals are achieved within a specified time period based upon individual needs, reasonable expectations and well-documented outcomes.

Requirements:

  1. Education:

Bachelor's Degree from an accredited school of nursing/related field; or RN currently enrolled in a bachelors program with a documented plan for completion. Equivalent experience may be substituted for a degree.

Master's Degree in Social Work is also accepted.

B. Knowledge:

Demonstrated clinical expertise.

Knowledge of health care and managed care delivery systems.

Standards of medical practice.

Insurance benefit structures and related legal/ medical issues.

Utilization management and quality improvement processes.

Community resources.

Clinical, satisfaction and financial outcomes.

C. Skills:

Ability to work in a dynamic, team-oriented environment and demonstrate positive relationship building.

Effective verbal/ written communication.

Ability to affect change.

Ability to perform critical analysis, plan and organize effectively.

Ability to promote member/family autonomy.

Business acumen so that health benefits and member/provider satisfaction are maximized while solidifying the program's viability through cost effective intervention.

Additionally for Case Manager, Complex:

Attitude and skills that facilitate patient engagement in their health care.

D. Required Licensure, Certification, Etc.:

Current registered nurse licensure in the state of Maryland or LCSW-C.

Certification in case management (CCM) preferred.

E. Work Experience:

Minimum five (5) years clinical practice.

Three (3) years case management. Managed care experience preferred.

Valid Through: 2019-10-21