Licensed Master Social Worker

Job Title

Behavioral Health Case Manager II

Remote – Must reside in one of these counties:
Berrien, Van Buren, Cass, Kalamazoo, St. Joseph, Calhoun, Branch, Jackson, Hillsdale, Livingston, Washtenaw, Lenawee, Monroe, Oakland, Macomb, Wayne, Clinton, Eaton, or Ingham.

4+ Month Contract (Potential for extension)

$44.12/hr on W2

M-F 8 AM-5 PM

• Add city, state and county at the top of their resume.
• Primarily telephonic. No field work needed for this role.
• Fully remote. Candidates will need a quiet, dedicated work space with no distractions. This role will require that the candidate be hard wired into the modem. Candidates will need to secure a long enough ethernet cord at their own expense.
• Must have an LPC or LMSW – unrestricted and active in the state of Michigan.

The Case Manager utilizes a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individual's benefit plan and/or health needs through communication and available resources to promote optimal, cost‑effective outcomes. Requires an LMSW or LCP with unrestricted active license.

Through the use of clinical tools and information/data review, conducts comprehensive assessments of referred member's needs/eligibility and determines approach to case resolution and/or meeting needs by evaluating member's benefit plan and available internal and external programs/services. Application and/or interpretation of applicable criteria and guidelines, standardized case management plans, policies, procedures, and regulatory standards while assessing benefits and/or member's needs to ensure appropriate administration of benefits.

Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures.

3+ years of direct clinical experience, e.g., hospital setting or alternative care setting such as ambulatory care or outpatient clinic/facility.

Healthcare and/or managed care industry experience.

Case Management experience preferred – Position requires proficiency with computer skills which includes navigating multiple systems and keyboarding.

Effective communication skills, both verbal and written.

Ability to multitask, prioritize and effectively adapt to a fast‑paced changing environment.

Sedentary work involving periods of sitting, talking, listening. Work requires sitting for extended periods, talking on the telephone and typing on the computer.

Work requires the ability to perform close inspection of handwritten and computer‑generated documents as well as a PC monitor.

Typical office working environment with productivity and quality expectations.

One of the following unrestricted licenses in the state of Michigan is required: LMSW or LPC.

Minimum of a Master’s Degree in a Behavioral/Mental Health/Social Work or Human Service Field.

Case Management Certification CCM preferred.

• Through the use of clinical tools and information/data review, conducts comprehensive assessments of referred member’s needs/eligibility and determines approach to case resolution and/or meeting needs by evaluating member’s benefit plan and available internal and external programs/services.
• Applies clinical judgment to the incorporation of strategies designed to reduce risk factors and address complex clinical indicators which impact care planning and resolution of member issues.
• Using advanced clinical skills, performs crisis intervention with members experiencing a behavioral health or medical crisis and refers them to the appropriate clinical providers for thorough assessment and treatment, as clinically indicated.
• Provides crisis follow up to members to…