Behavioral Health Care Manager, LCSW/LMFT - HH (Remote)

Date: Jan 11, 2022

Location: Rancho Cucamonga, CA, US

Company: Inland Empire Health Plans

Job Requisition ID: 6606 

 

Position Summary/Position

 

Under the general supervision of the Manager POS Care Management, this position is responsible for working effectively with the Health Home Team (HHT) to provide high quality, effective care management to IEHP members. Care management is broadly defined, and can include outreach and engagement to members, engaging members in skilled therapeutic interactions to promote health behaviors, other behavioral health interventions within scope, coordination of care, resource linkages, working with other professionals and organizations in the community to ensure quality of care for members, seamless transitions of care, and facilitating the right care and the right time for the member. This position works collaboratively with members of their own team, members and families, and other professionals, in addition to working collaboratively with the designated health care organization (HCO) medical team. As a licensed clinician, this position provides clinical expertise, clinical leadership, and clinical oversight in a variety of ways within the Health Homes program and Behavioral Health Care management departments. This position, like all positions within the Health Home Team,  is expected to model behavioral health principles of relationship-based care, as well engage in promoting education and understanding of behavioral health and its importance in whole health, to those within IEHP and in the community.

Major Functions (Duties and Responsibilities)

 

1. Responsible for primarily working with a caseload of Members with behavioral health needs.
2. Responsible for utilizing brief behavioral health therapeutic interventions as necessary to improve the Member’s ability to manage their own health.
3. Provide formal and informal training and support for HHT members on behavioral health conditions, including treatments and evidence-base for treatment.
4. Responsible for assisting Members with care coordination needs, including, but not limited to, the following:
a. Conduct comprehensive, holistic assessment according to the scope of clinician
b. Assimilate assessment information into an individualized care plan (ICP)
c. Communicate ICP with Member, approved family or caregiver and other Members of the care team
d. Participate in inter/transdisciplinary care team meetings to share information, update and inform care plan
e. Coordinate with internal and external health partners to support Member’s comprehensive care needs
f. Participate and lead (as necessary) care transition plan responsibilities.
5. Model the highest ethical behavior in relationships with co-workers, supervisors, Members, Providers, and colleagues in the community.
6. Responsible for promoting a collaborative and effective working environment within the HHT by engaging in evidenced-based communication strategies (such as Motivational Interviewing) when discussing responsibility/sharing of tasks, effectively resolving conflicts as they arise, and collaborating on Member case discussions.
7. Provide formal and informal training and support for HHT members on behavioral health conditions, including treatments and evidence-base for treatment.
8. In conjunction with the HHP Manager, the Behavioral Health Care Manager is responsible for providing consultation for the non-licensed members of the team when discussing tasks of a clinical nature.
9. Responsible for building and maintaining a positive working relationship with Providers, including, but not limited to, communication via in-person, over the phone, and through digital means such as email and fax.
10. Responsible for engaging with Members, both in-person and on the phone, in a manner that utilizes evidence-based approaches (such as Motivational Interviewing) that promotes collaboration between the Member and his or her medical/behavioral team, as well as to increase the Member’s sense of control over their whole health.
11. Model commitment to continuous quality improvement by engaging in quality improvement initiatives and projects, such as by identifying and addressing HEDIS gaps, and by identifying, developing, and testing new practices for improving the outcomes of the HHT.
12. Assists with the coordination of medical and behavioral health access issues with PCP offices, specialists, and ancillary services.
13. Ensures documentation is accurate and in compliance with regulatory requirements and accreditation standards.
14. Participates in Health Plan staff meetings, trainings, committee meetings, or other activities as needed or as directed by Leadership Team Members.
15. Provide weekly clinical supervision for unlicensed clinicians within IEHP, who are gaining clinical hours for BBS licensure. 
16. Provide effective Care Management for IEHP members, including care coordination, linkage to resources, support in transitions of care, facilitating member self-efficacy and self-management, and all other activities associated with high quality, evidenced-based care management.
17. Engage and collaborate with staff outside the HH department, or with those outside BH discipline, to provide integrated care to IEHP members.

Supervisory Responsibilities

Leading: Self

Experience Qualifications

 

Minimum of (3) three years of experience performing or facilitating Behavioral Health services in a health clinic/psychiatric hospital medical facility. Experience working successfully within a team, and experience in developing and maintaining effective relationships with both clients and coworkers is mandatory.

Preferred Experience

 

Familiarity with Managed Care and discharge planning is preferred. Experience in clinical services, both mental health and substance use preferred. Experience in motivational interviewing and/or other evidenced based communication strategies highly preferred.

Education Qualifications

 

Masters in Social Work or a Marriage and Family Therapist Degree (MSW or MFT) from an accredited institution required and registered with the Board of Behavioral Sciences. 

Preferred Education

Professional Certification

Professional Licenses

 

Possession of an active, unrestricted, and unencumbered license in a Social Services related field. 
(License in Social Work (LCSW) or Marriage and Family (LMFT) required). 

Drivers License Required

Yes, must have a valid California Driver's License.

Knowledge Requirement

 

Deep understanding and knowledge of mental health and substance use conditions, including both acute and chronic management of symptoms. Knowledgeable and skilled in evidenced based communication such as Motivational Interviewing, or similar empathy-based communication strategies. Understanding of and sensitivity to multi-cultural community. Awareness of the impact of unmitigated bias and judgement on health; commitment to addressing both.  

Skills Requirement

 

Bilingual (English/Spanish) preferred.

Highly skilled interpersonally, with excellent relationship skills. Highly skilled in interpersonal communication, including resolving conflict with co-workers. Skillful in informally and formally sharing expertise. Must have skills to tolerate, manage and make effective use of a high level of ambiguity around new team models, new models of care, and new care management practices.

Abilities Requirement

 

Able to sufficiently engage members and providers on the phone, including developing effective relationships that are phone-based. Must be able to work as a member of a highly autonomous team, executing job duties and making skillful decisions as an independent team.

Commitment to Team Culture

 

The IEHP Team environment requires a Team Member to participate in the IEHP Team Culture. A Team Member demonstrates support of the Culture by developing professional and effective working relationships that include elements of respect and cooperation with Team Members, Members and associates outside of our organization.

Working Conditions

 

Significant travel outside of the office to Providers offices, Member’s homes and out to the community. 

 

Major Functions (Duties and Responsibilities) Continued:

18. Provide crisis intervention to individuals, as well as providing support and clinical guidance to others who engage in this work.

19. Work in a lead training capacity at HH training site, to provide onboarding and ongoing training to HHP team members.  
20. Model continuous quality improvement philosophy and engage in quality improvement initiatives and projects.

21. Provide clinical trainings and other learning and development activities, within areas of expertise, inside and outside the Health Homes program.
22. Model supportive and collaborative relationships with members, co-workers, and community relations.
23. Participate in other committees as needed, or as directed by the HH managers or Directors.

Physical Requirements

Carry/Lift 1-10 lbs - FREQUENTLY
Driving - CONSTANTLY
Keyboarding: Traditional - CONSTANTLY
Keyboarding: Touch-Screen - CONSTANTLY
Keyboarding: 10-Key - CONSTANTLY
Keyboarding: Other - CONSTANTLY
Use of computer mouse - CONSTANTLY
Steering - CONSTANTLY
Twisting - FREQUENTLY
Twisting of the neck - CONSTANTLY
Stooping - CONSTANTLY
Bending - CONSTANTLY
Squatting - FREQUENTLY
Kneeling - FREQUENTLY
Extension of the neck - CONSTANTLY
Flexion of the neck - CONSTANTLY
Reaching (above shoulder level) - FREQUENTLY
Reaching (at shoulder level) - FREQUENTLY
Reaching (below shoulder level) - FREQUENTLY
Hearing: One-on-One - CONSTANTLY
Hearing: In a group - CONSTANTLY
Hearing: Over the Telephone/Cell Phone - CONSTANTLY
Hearing: Other sounds - CONSTANTLY
Alternate Sit/Stand or Walk at Will - CONSTANTLY
Standing - FREQUENTLY
Climbing - CONSTANTLY
Sitting - CONSTANTLY
Hearing: Conference Speakers/Video Calls/Radio Calls - CONSTANTLY
Communicate: Information/ideas verbally - CONSTANTLY
Communicate: Verbally engage with customer base - CONSTANTLY
Communicate: Give Instructions, advise, warn, instruct - CONSTANTLY
Far Visual Acuity - CONSTANTLY
Near Visual Acuity - CONSTANTLY
Peripheral Vision - CONSTANTLY
Indoors - CONSTANTLY
Outdoors - FREQUENTLY
Lighting - CONSTANTLY
Smells/Scents - CONSTANTLY
Dust, Wind, and/or Pollen - FREQUENTLY
Traffic - CONSTANTLY
Extreme changes in temperature, humidity, or moisture - CONSTANTLY
Excessive noise - CONSTANTLY
Vibration - CONSTANTLY
Perform complex and varied tasks - CONSTANTLY
Develop and maintain positive work relationships - CONSTANTLY
Adaptability: rate of change in work location - CONSTANTLY
Adaptability: rate of change in work schedule - CONSTANTLY
Adaptability: rate of change in work tasks - CONSTANTLY
Regular contacts: co-workers, supervisor - CONSTANTLY
Regular contacts: recurring clients - CONSTANTLY
Other contacts: public exchange - CONSTANTLY
Other contacts:one-time clients - CONSTANTLY
Decision-making - CONSTANTLY
Lead/Influence Others - CONSTANTLY
Work review - CONSTANTLY
Rapid Pace of work - CONSTANTLY
Pace of work with faster/slower work periods - CONSTANTLY
Problem Solving - CONSTANTLY
Memory - CONSTANTLY
Understand and follow direction - CONSTANTLY
Regular and reliable attendance - CONSTANTLY

 

Starting Salary: $85,841.60  - $109,449.60  

Pay rate will commensurate with experience

 

Inland Empire Health Plan (IEHP) is the largest not-for-profit Medi-Cal and Medicare health plan in the Inland Empire. We are also one of the largest employers in the region. With a provider network of more than 6,000 and a team of more than 2,000 employees, IEHP provides quality, accessible healthcare services to more than 1.2 million members. And our mission and core values help guide us in the development of innovative programs and the creation of an award winning workplace. As the healthcare landscape is transformed, we’re ready to make a difference today and in the years to come. Join our Team and Make a Difference with us! IEHP offers a Competitive salary and a benefit package with a value estimated at 35% of the annual salary, including medical, dental, vision, team bonus, and retirement plan.

 


Nearest Major Market: Riverside
Nearest Secondary Market: Los Angeles