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Behavioral Health Care Manager--PerformCare Pennsylvania

AmeriHealth Caritas • Remote • Posted 3 days ago

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Remote • Full-time • Mid Level

Job Highlights

Using AI ⚡ to summarize the original job post

PerformCare PA is seeking an experienced Behavioral Health Care Manager for a full-time, remote position, preferably based in Pennsylvania. The role involves utilization management, case and care management, and coordination of behavioral health care for members as part of a collaborative care team. This position requires a Master's degree in a relevant field and a Pennsylvania license (LCSW, LSW, LPC, LMFT, or RN with a Master's degree).

Responsibilities

  • Provide utilization management
  • Offer case and care management
  • Support and coordinate behavioral health care for members
  • Coordinate care including physical health (PH)-behavioral health (BH), referrals, follow-up, authorization determinations
  • Connect members to natural/community supports, including social determinants of health (SDoH) supports
  • Ensure quality of care

Qualifications

Required

  • Master's Degree in Social Work, Mental Health Counseling, Psychology, or Nursing
  • Pennsylvania License as a LCSW, LSW, LPC, LMFT, or RN with a Master's degree
  • Behavioral Health experience
  • Must be licensed in the state of Pennsylvania

Preferred

  • Additional Substance Use certification

About AmeriHealth Caritas

AmeriHealth Caritas is a leading managed care organization in the United States, providing Medicaid, Medicare, and CHIP services alongside pharmacy benefit management, behavioral health, and administrative services. The company, established in 1983 to serve Medicaid recipients in Pennsylvania, has since expanded to multiple states, emphasizing comprehensive healthcare solutions for underserved communities. Operating as a subsidiary of Independence Blue Cross, AmeriHealth Caritas focuses on offering high-quality healthcare plans and services to improve the well-being of its members.

Full Job Description

Job Brief

PerformCare PA seeking an experienced Behavioral Health Care Manager for a Full-Time opportunity. This is a 100% Remote position but prefer Pennsylvania residents Master's degree plus professional certification required.

Your career starts now. We are looking for the next generation of health care leaders.

At AmeriHealth Caritas, we are passionate about helping people get care, stay well and build healthy communities. As one of the nations leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together we can build healthier communities. If you want to make a difference, we would like to hear you.

Headquartered in Newtown Square, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services.

Discover more about us at www.amerihealthcaritas.com.

Behavioral Health Care Manager PerformCare Pennsylvania

Responsibilities:

The PerformCare-PA Behavioral Health Clinical Care Manager (BH-CCM) is a core participant of the collaborative care team, including the member/family, behavioral health providers, behavioral health service system, Physical Health (PH)-Managed Care Organization (MCO) and medical providers when applicable, as well as the larger primary care team. The CCM is responsible for proving utilization management and both case and care management, as well as supporting and coordinating the behavioral health care of members per assigned caseload, with the members/guardian, school system, behavioral health care provider and, when appropriate, other medical providers. Coordination of care including PH-BH, referrals, follow up, authorization determinations, connection to natural/community supports including SDoH supports, and quality of care are key components of the BH CCM role.

Education/ Experience:

  • Master's Degree in Social Work, Mental Health Counseling, Psychology or Nursing and a Pennsylvania License as a LCSW, LSW, LPC, and LMFT is required.
  • Registered Nurse is required to have a Master's degree and experience in behavioral health/psychiatric direct services.
  • An additional Substance Use certification is preferred.
  • Behavioral Health experience is required for this position.
  • This is a 100% remote position and successful candidates must be licensed in the state of Pennsylvania for contractual requirements.

Diversity, Equity, and Inclusion

At AmeriHealth Caritas, everyone can feel valued, supported, and comfortable to be themselves. Our commitment to equity means that all associates have a fair opportunity to achieve their full potential. We put these principles into action every day by acting with integrity and respect. We stand together to speak out against injustice and to break down barriers to support a more inclusive and equitable workplace. Celebrating and embracing the diverse thoughts and perspectives that make up our workforce means our company is more vibrant, innovative, and better able to support the people and communities we serve.

We keep our associates happy so they can focus on keeping our members healthy.

Our Comprehensive Benefits Package

Flexible work solutions including remote options, hybrid work schedules, Competitive pay, Paid time off including holidays and volunteer events, Health insurance coverage for you and your dependents on Day 1, 401(k) Tuition reimbursement and more.

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