Behavioral Health Care Manager, Licensed (Hybrid remote options)

Date: Sep 1, 2021

Location: Rancho Cucamonga, CA, US

Company: Inland Empire Health Plans

Job Requisition ID: 5521 

 

Position Summary/Position

 

Under the direction of the Behavioral Health and Care Management Leadership, this position provides 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, 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.  As a licensed clinician, this position provides clinical expertise, clinical leadership, and clinical oversight in a variety of ways within the Behavioral Health and Care management departments. This position, like all positions within the Behavioral Health Department, 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. Skillfully develop therapeutic alliances with members and utilize evidenced based communication skills in assisting members.
2. Establish and maintain effective goodwill relationships with coworkers, supervisors and other colleagues, and collaboratively work with team members. 
3. Model the highest ethical behavior in care for members, as well as in relationships with co-workers, supervisors, and colleagues in the community.
4. Advocate for members to receive the highest quality care, in a timely manner, within IEHP’s network.
5. Coordinate with internal and external health partners to support Members’ comprehensive care needs.
6. 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.
7. Engage and collaborate with staff outside the BH department, or with those outside BH discipline, to provide integrated care to IEHP members.
8. 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-both telephonically as well as in person.
    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 Members’ comprehensive care needs.
    f. Participate and lead (as necessary) care transition plan responsibilities.
9. Engage in proactive, member-centered utilization and quality review of Behavioral Health and Care Management services by members.
10. Provide crisis intervention to individuals, as well as providing support and clinical guidance to others who engage in this work.  
11. Participation in Behavioral Health and Care Management team and department meetings.
12. Model continuous quality improvement philosophy and engage in quality improvement initiatives and projects.
13. Provide clinical trainings and other learning and development activities, within areas of expertise, inside and outside the behavioral health department.
14. Model supportive and collaborative relationships with members, co-workers, and community relations.
15. Participate in other committees as needed, or as directed by the BH supervisors, managers or Directors. 
16. Engage in all IEHP employee training and comply with all IEHP policies.

Supervisory Responsibilities

Leading: Self

Experience Qualifications

 

Minimum of 3 years of experience performing or facilitating Behavioral Health services. Experience working successfully within a team and experience in developing and maintaining effective relationships with both clients and coworkers is mandatory.

Preferred Experience

 

Behavioral Health services experience in a health clinic psychiatric hospital medical facility, or health care clinic strongly preferred. Experience in clinical services, both mental health and substance use preferred. Experience in motivational interviewing and/or other evidenced based communication strategies preferred.

Education Qualifications

 

Master’s degree from an accredited institution required.

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) preferred).

Drivers License Required

Yes, must have a valid California Driver's license and valid automobile insurance. Must qualify and maintain driving record to drive company vehicles based on IEHP insurance standards of no more than three (3) points.

Knowledge Requirement

 

Familiarity with Managed Care and discharge planning is required. Knowledgeable and skilled in evidenced based communication such as Motivational Interviewing, or similar empathy-based communication strategies. Understanding of and sensitivity to multi-cultural communities. Deep understanding and knowledge of mental health and substance use conditions, including both acute and chronic management. Awareness of the impact of unmitigated bias and judgement on health; commitment to addressing both. 
Knowledge of whole health and integrated principles and practices is preferred.

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 and resilience to tolerate a moderate level of change and development around new models of care and care management practices. Proficient in the use of computer software to include but not 
limited to: (e.g. Microsoft Word and Excel, Power Point).

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 team, executing job duties and making skillful decisions within one’s scope. 

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

 

While performing the duties of this job, the employee is occasionally required to stand; walk; sit; use hands to finger, handle, or feel objects, tools or controls; reach with hands and arms; climb stairs; balance; stoop, kneel, crouch or crawl; talk or hear; and taste or smell. The employee must occasionally lift or move up to 25 pounds. Specific vision abilities required by the job include close vision, distance vision, color vision, peripheral vision, depth perception and the ability to adjust focus. Some travel may be required.

Physical Requirements

Hearing: One-on-One - FREQUENTLY
Communicate: Information/ideas verbally - FREQUENTLY
Near Visual Acuity - FREQUENTLY
Perform complex and varied tasks - FREQUENTLY
Develop and maintain positive work relationships - CONSTANTLY
Regular contacts: co-workers, supervisor - FREQUENTLY
Regular contacts: recurring clients - CONSTANTLY
Decision-making - FREQUENTLY
Lead/Influence Others - FREQUENTLY
Rapid Pace of work - FREQUENTLY
Problem Solving - CONSTANTLY
Keyboarding: 10-Key - FREQUENTLY
Keyboarding: Touch-Screen - FREQUENTLY
Keyboarding: Traditional - FREQUENTLY
Use of computer mouse - FREQUENTLY
Sitting - CONSTANTLY
Indoors - FREQUENTLY
Lighting - CONSTANTLY
Memory - FREQUENTLY
Understand and follow direction - FREQUENTLY
Regular and reliable attendance - CONSTANTLY
Driving - FREQUENTLY

 

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