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Job Details

Behavioral Health Care Manager

Requisition #: 191422
Location: Johns Hopkins Health Care, Hanover, MD 21076
Category: Social Work/Mental Health
Work Shift: Day Shift
Work Week: Full Time (40 hours)
Weekend Work Required: No
Date Posted: Sept. 13, 2019

Johns Hopkins Health System employs more than 20,000 people annually. Upon joining Johns Hopkins Health System, you become part of a diverse organization dedicated to its patients, their families, and the community we serve, as well as to our employees. Career opportunities are available in academic and community hospital settings, home care services, physician practices, international affiliate locations and in the health insurance industry. If you share in our vision, mission and values and also have exceptional customer service and technical skills, we invite you to join those who are leaders and innovators in the healthcare field.

The Behavioral Health Care Manager anticipates and coordinates care / services / health education for targeted member populations with chronic disease conditions or high cost specialty care. She/he demonstrates knowledge of complex case management, prognosis and outcomes, and is responsible for ensuring that member goals are achieved within a specified time period based upon individual needs, reasonable expectations and well-documented outcomes.

Requirements:

  1. Education:

Bachelor’s Degree from an accredited school of nursing/related field; or RN currently enrolled in a bachelors program with a documented plan for completion. Equivalent experience may be substituted for a degree.

Master’s Degree in Social Work is also accepted.

B. Knowledge:

Demonstrated clinical expertise.

Knowledge of health care and managed care delivery systems.

Standards of medical practice.

Insurance benefit structures and related legal/ medical issues.

Utilization management and quality improvement processes.

Community resources.

Clinical, satisfaction and financial outcomes.

C. Skills:

Ability to work in a dynamic, team-oriented environment and demonstrate positive relationship building.

Effective verbal/ written communication.

Ability to affect change.

Ability to perform critical analysis, plan and organize effectively.

Ability to promote member/family autonomy.

Business acumen so that health benefits and member/provider satisfaction are maximized while solidifying the program’s viability through cost effective intervention.

Additionally for Case Manager, Complex:

Attitude and skills that facilitate patient engagement in their health care.

D. Required Licensure, Certification, Etc.:

Current registered nurse licensure in the state of Maryland or LCSW-C.

Certification in case management (CCM) preferred.

E. Work Experience:

Minimum five (5) years clinical practice.

Three (3) years case management. Managed care experience preferred.

Johns Hopkins Health System and its affiliates are Equal Opportunity/Affirmative Action employers. All qualified applicants will receive consideration for employment without regard to race, color, religion, sexual orientation, gender identity, sex, age, national origin, disability, protected veteran status, and or any other status protected by federal, state, or local law.

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