Clinical - Behavioral Health Care Job at Axelon Services Corporation, Mcallen, TX

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  • Axelon Services Corporation
  • Mcallen, TX

Job Description

Location: This is a member facing/Remote role, where you will be meeting with members in their Homes or facilities 80% of the time. we are Looking for candidates located south of McAllen. Anywhere between Alamo to Brownsville would be good. Harlingen would be a perfect middle ground.

Shift:

8AM to 5PM M-F Sometimes OT is required, yes

Job Description: Position Purpose: Conducts comprehensive member psychosocial assessments through root cause analysis and performs clinical intervention through the development of a care management treatment plan specific to each member with high level acuity needs. Manages members with severe mental illness who have high rates of behavioral health utilization and/or severe psychosocial vulnerability. Assess members to recommend activities and behavioral routines to meet the social and medical needs of members and their families. Provides support and/or intervention and assists members in understanding the implications and complexities of their current medical situation and/or overall personal care. Candidate Education: Required A Master's Degree in Social Work, Psychology, Counseling, Rehabilitation, or other relevant field that provides a foundation to receive a license as required of the position Candidate Experience: Required 2+ years of experience in behavioral health management and/or acute behavioral health care setting focusing on outpatient/inpatient utilization, case management and discharge planning

Required 1+ year of experience in current case management as a licensed professional

Required Other Experience working with the needs of vulnerable populations who have chronic or complex bio-psychosocial needs

Preferred Other Experience in a managed care environment

Required 5+ years of experience in For KY SKY Program: candidates must have 5 years of behavioral health care experience

Licenses and Certifications: A license in one of the following is required: Required Other A master's level independent or non-independent license is required OR an RN with a behavioral health background:

Required Licensed Registered Nurse (RN)

Required Licensed Clinical Social Worker (LCSW)

Required Licensed Clinical Mental Health Counselor (LCMHC)

Required Licensed Clinical Professional Counselor (LCPC)

Required Licensed Clinical Marriage & Family Therapist (LCMFT)

Required Licensed Clinical Psychologist (LCP)

Required Licensed Master Social Work (LMSW)

Required Certified Social Worker (C-SW)

Required Acute Care Nurse Practitioner (APRN) (ACNP-BC)

Required Other In New Jersey, one of the following is Required: Licensed Clinical Social Worker (LSW), Licensed Associate Counselor (LAC) or Registered Nurse (RN). Licensed Clinical Social Worker (LCSW) or Licensed Professional Counselor (LPC) Preferred.

Essential Functions: * Assesses, plans, implements, monitors and evaluates options and services to meet complex psychosocial health needs of inpatient and outpatient members. Manages a caseload in compliance with contractual obligations and WellCare standards.

* Conducts comprehensive member assessments through root cause analysis based on referred member's needs and benefit plan eligibility, and performs clinical intervention through the development of a care management treatment plan specific to each member with high level acuity needs.

* Manages members with severe mental illness who have high rates of behavioral health utilization and/or severe psychosocial vulnerability. Works towards achievement of optimal clinical and resource outcomes.

* Monitors and evaluates effectiveness of care plan and modifies plan as needed. Supports member access to appropriate quality and cost effective care. Coordinates with internal and external resources to meet identified needs of the member's care plan and collaborates with providers.

* Acts as a liaison and member advocate between the member/family, physician and facilities/agencies. Provides clinical consultation to physicians, professional staff and other teams members/supervisors to provide optimal quality patient care and effective operations.

* Interacts continuously with members, family, physician(s), and other resources to determine appropriate behavioral action needed to address medical needs. Reviews benefits options, researches community resources, trains/creates behavioral routines and enables members to be active participants in their own healthcare.

* Ensures members are engaging with their PCP to complete their care management treatment plan or preventive care services.

* Assists in obtaining benefits for members through community resources when benefits are exhausted or not available.

* Performs other duties as assigned. Additional Responsibilities: * In Hawaii, Registered Nurses may monitor the effect of medications, provide medication administration and education as needed under guidance of the Psychiatrist. The may provide education and clinical care for medical conditions and assists the Psychiatrist with member adherence to medications.

* Incumbents engaged in Florida's SMI program will manage members with severe mental illness who have high rates of behavioral health utilization and/or severe psychosocial vulnerability. Incumbents will travel extensively to member's inpatient bedside, home or other facility.

Walk me through the day to day responsibilities of this the role and a description of the project:

Team member will go into the homes of member s to do assessments, check on their wellbeing, and assure their behavioral health needs are taken care of. Assessments are written up as reports determining needs and assist in getting the services approved. Team member will also be responsible for contractual calls, working with collateral agencies like LIDDA, LMHA, and various providers.

Describe the performance expectations/metrics for this individual and their team:

Team member will be expected to adhere to turn around times set forth by the state in regards to updating assessments, completing documentation and conducting the contractual calls determined by member s level of care. They will also be expected to present themselves in a professional manner when interacting with families and collateral contacts.

Tell me about what their first day looks like:

The first day will be getting technology set up and getting the new team member access to all the systems used in their position.

What previous job titles or background work will in this role?

Team member needs a solid background in behavioral health issues and must have a clean, unrestricted license such as; LPC, RN, LMFT, LCSW, etc.

Internal/External Groups with which the Candidate will interface:
Star kids members, LIDDA, LMHA, doctors, other providers

Required Skills/Experience:

Preferred Skills/ Experience:

1.
Must be licensed as BH clinician or RN
1.
Behavioral health counseling

2.
Experience with direct care
2.
Knowledge of how to conduct an assessment

3.
Able to learn technology used in the position
3.
Basic report writing skills

Education Requirement:
Master s
Education Preferred:

Software Skills Required:
Basic Computer, Excel, Word, Outlook, Zoom,

Job Tags

Permanent employment, Remote job, Shift work,

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