Job description
The Complex Care Manager works with relevant stakeholders to identify and engage
clients in intensive clinical care management with a focus on successfully addressing
client's behavioral health and social determinants of health, improving patient
experience, advancing health and reducing cost. The services focus on high risk and
complex clients who have a pattern of inpatient admissions, high utilization of
emergency services, difficulty engaging with outpatient treatment and may also be
medically complex. The role requires assertive outreach, advocacy, service
coordination, monitoring, follow up and general assistance to help clients manage
barriers that may impede access to clinical services and progress in their recovery. This
position supports clients across Boston and will require in-person visits to members in
the community. Excellent interpersonal skills, patient engagement skills and the ability
to work independently and collaboratively are key requirements of the job. Clinical
experience working with behavioral health conditions prevalent within the Medicaid
population including psychotic disorders, personality disorders, and substance use
disorders is necessary. Care managers collaborate closely with providers throughout
the health system including outpatient therapists, psychiatrists, pharmacists, and PCPs
as well as develop partnerships with other community resources.
Experience/Education:
Knowledge and Skills:
41CCM
Req id: 27406
clients in intensive clinical care management with a focus on successfully addressing
client's behavioral health and social determinants of health, improving patient
experience, advancing health and reducing cost. The services focus on high risk and
complex clients who have a pattern of inpatient admissions, high utilization of
emergency services, difficulty engaging with outpatient treatment and may also be
medically complex. The role requires assertive outreach, advocacy, service
coordination, monitoring, follow up and general assistance to help clients manage
barriers that may impede access to clinical services and progress in their recovery. This
position supports clients across Boston and will require in-person visits to members in
the community. Excellent interpersonal skills, patient engagement skills and the ability
to work independently and collaboratively are key requirements of the job. Clinical
experience working with behavioral health conditions prevalent within the Medicaid
population including psychotic disorders, personality disorders, and substance use
disorders is necessary. Care managers collaborate closely with providers throughout
the health system including outpatient therapists, psychiatrists, pharmacists, and PCPs
as well as develop partnerships with other community resources.
Experience/Education:
- Master's Degree in Social Work or Counseling
- Experience providing case management services
- Experience working with vulnerable patient populations
- xperience working with clients with serious mental illness and/or substance use disorders
Knowledge and Skills:
- Strong understanding and familiarity with common diagnoses across behavioral
- health and medical settings
- Strong understanding and familiarity with levels of care and how to navigate
- behavioral health system
- Extensive knowledge of healthcare systems and relevant community resources
- Sensitivity to ethnic, cultural, gender, and sexual orientation diversity, values, beliefs,
- and behaviors
- Excellent interpersonal skills and ability to work collaboratively
- Self-management skills, including ability to prioritize and set patient-centered
- goals
- Excellent written and verbal communication
- Able to maintain professional boundaries
- Ability to work with diverse, safety-net population
- Skilled at engaging difficult to engage patients-build rapport, trust
- Ability to work in a fast paced environment, inclusive of organizational skills, time
- management skills, critical thinking, and problem solving abilities
- Computer competency, inclusive of the ability to access and enter data through the
- electronic medical record system, submit billing, assist clients with
- scanning/faxing/printing and manage personal email system
- Bilingual or multi-lingual skills (beyond that of English) appropriate to the patient
- population serviced, is preferred
41CCM
Req id: 27406
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