Independent Health · 1 day ago
Behavioral Health Case Manager
Buffalo, NY (14221)
Full-time
Hybrid
Entry, Mid Level
$33.50/hr - $38/hr
2+ years expIndependent Health is a company focused on fostering growth and innovation within its organization. The Behavioral Health Case Manager is responsible for managing behavioral health benefits and ensuring quality improvement through effective case management practices.
Health CareInsuranceNon Profit
No H1B
Responsibilities
Develop a plan of care based upon providers of care clinical assessments and patients, to identified population along the continuum of care staying within their scope of case management practice and within accreditation standards and applicable regulation compliance
Activities in one or more of these CM programs may include but not be limited to: identify eligible insured individuals from available data set(s); enrollment in applicable CM program; actively engage insured individual in CM program to achieve measurable CM goals; and discharge from CM program when appropriate
Use appropriate screening criteria and clinical judgment to assess member needs
Conduct assessments to identify individual needs and develop person centered care plans with goals identified during the assessment
Monitor and evaluate effectiveness of care plan and modify plan as needed
Coordinate with internal and external resources to meet identified needs of the members and collaborate with providers and community agencies
Provide assistance to hospital/facility discharge planners to help coordinate post inpatient BH treatment continuity
Collaborate with other departments such as Medical UM, Medical Case Management, and SIU for specific BH related case review, product/benefit development, claims, servicing and network as directed
Review and provide input to policies, standard operating procedure (SOP) documents, reports and data related to BH CM programs
Assist with the preparation of the annual program evaluations and Work Plans for the BH CM Programs
Aid department efforts with quality improvement activities through data collection, measurement, reporting, evaluation, and evidence-based intervention development related to BH benefits and/or BH specialty providers
Participate in identification, analysis, and evaluation of quantitative and qualitative CM program outcomes and recommend interventions for improvement and implement recommendations when appropriate
Attend meetings as assigned
Establish professional working relationships with other Independent Health Associates
Qualification
Required
Licensed master's social worker (LMSW), master's in social work (MSW), licensed mental health counselor (LMHC), licensed professional counselor (LPC), licensed family or marriage therapist (LMFT) or active registered nurse (RN) in NYS required
Certified Case Manager (CCM) required. Candidates without CCM certification are required to obtain it within 2 years of commencing employment
Two (2) years of experience in a behavioral health clinical and/or care coordination setting required
Excellent knowledge base of community resources and roles of various community agencies
Excellent interpersonal, written, and verbal communication skills
Proficient computer and Windows skills required, including MS Office
Exhibit creativity, self-motivation, flexibility, and effective problem-solving skills
Self-starter with high level of accountability and responsibility
Ability to work flexible hours and/or overtime as needed
Proven examples of displaying the IH values: Passionate, Caring, Respectful, Trustworthy, Collaborative and Accountable
Preferred
Experience in a health plan/managed care setting, case management and/or quality improvement activities
Experience in health coaching and motivational interviewing techniques
Ability to use MS Excel or Access for data collection and analyze data, assess outcome measurements, and intervene appropriately
Benefits
Full range of benefits
Generous paid time off
Company
Independent Health
As one of Western New York's first HMOs, Independent Health covers approximately 355,000 people here and across the country with more than 100 plans, services and products.
1001-5000 employees
Funding
Current Stage
Late StageTotal Funding
unknown2025-11-18Acquired
Leadership Team
Michael W. Cropp, M.D., M.B.A.
President and CEO
Jim Dunlop Jr.
Executive Vice President and Chief Financial Officer
Recent News
vermontbiz.com
2025-11-19
2025-11-19
Company data provided by crunchbase