Behavioral Health Care Manager Resume Sample
Tianna Thiel
2235 Carmella Court,
Los Angeles,
CA
+1 (555) 538 5011
Work Experience
Behavioral Health Care Manager
06/2015
-
PRESENT
Detroit, MI
- Supports member access to appropriate quality and cost effective care. Coordinates with internal and external resources to meet identified needs of the member's care plan and collaborates with providers
- Assesses, plans, implements, and monitors and evaluates options and services to meet complex psychosocial health needs of inpatient and outpatient members. Manages a caseload in compliance with contractual obligations and WellCare
- Conducts comprehensive member assessments based on member's needs and benefit plan eligibility, and performs
- Conducts comprehensive member assessments based on member's needs and benefit plan eligibility, and performs clinical intervention through the development of a case management treatment plan specific to each member with high level acuity needs
- Ensures members are engaging with their PCP to complete their case management treatment plan or preventive care services
- Provide each member with face-to-face case management services as frequently as required by acuity level of the member in order to meet the needs of the member and meet assigned acuity
- Attends in-service training in techniques and modalities relevant to treatment and rehabilitation; i.e. compliance, fraud and abuse prevention; and other sponsored training by professional organizations. Completes all mandatory compliance trainings and education assigned on a regular basis
Behavioral Health Care Manager / Consultant
05/2011
-
12/2014
Boston, MA
- Assess consumers need for interpreter services with limited English proficiency, as well as, sign language services for consumers who are deaf or hearing impaired. Provide the member with clear and adequate information on how to obtain services and make informed decisions about their own behavioral health, employment and supportive housing needs
- Provide comprehensive case assessment, case planning, ongoing quarterly monitoring of progress toward goals and support towards reaching those goals
- Respond, as necessary, within 1.5 hours to crisis situations in the community or EDs to provide in-person support and possible prevention of unnecessary hospitalization
- Provide skills development in problem-solving and other skills to remain in/return to the community including housing stabilization and supported employment
- Meet face-to-face with member within two (2) days of discharge from an inpatient psychiatric hospitalization and coordinate a visit with their behavioral health provider within seven (7) days following discharge
- Regularly communicates and collaborates with member’s PCP and other medical specialty providers as appropriate for comprehensive treatment planning
- Obtain Certification in Case Management within two years of accepting position.
- Serves as liaison to other departments as needed
Behavioral Health Care Manager Lead-indiana
01/2006
-
02/2011
Philadelphia, PA
- Performs Risk Management Activities as needed
- Monitors patient’s progress and intervenes, as necessary, to ensure care provided are patient focused, high quality, efficient, and cost effective
- Contributes to healthcare team’s, patient’s and family’s understanding of social and emotional elements of patient’s life related to diagnoses and treatments
- Assesses the member's behavioral health care needs and collaborates with team members and health care providers to develop a plan of care to improve, maintain or support optimal wellness within the context of the member's illness, medical condition and entitled benefits
- Utilizes motivational interviewing to develop member-centric goals for improvement in member clinical outcomes and self-management skills
- Care management involves use of psychoeducation and monitoring, provision of patient education tools, face to face interventions when warranted, and collaboration with primary care clinicians to ensure appropriate support and management of mental health symptoms. The position does not include providing long term therapy
- Collaborates with team members to develop individualized discharge and home care plans for high risk or complex members, incorporating into the plan of care efficient, cost effective interventions, in the most appropriate setting
- Facilitates communication with behavioral health providers and inpatient and outpatient behavioral health services
Education
Herzing University - Atlanta
2002 - 2006
Master's Degree in Healthcare
Professional Skills
- Excellent interpersonal, communication, and planning skills
- Demonstrated experience working in a Microsoft® Office Environment with the following or similar applications: Word and Excel
- Previous experience in case management/utilization management with a broad range of experience with complex psychiatric/substance abuse cases
- Travel as needed to member's homes, hospitals, skilled nursing facilities, PCP office practices and other sites where patients receive care
- Prioritize, multitask, and work in a rapidly changing environment with multiple demands
- Demonstrate resp ect and understanding of differences in behavior and
- Demonstrate respect and understanding of differences in behavior and communication
How to write Behavioral Health Care Manager Resume
Behavioral Health Care Manager role is responsible for software, events, travel, insurance, reporting, integration, training, health, interviewing, word.
To write great resume for behavioral health care manager job, your resume must include:
- Your contact information
- Work experience
- Education
- Skill listing
Contact Information For Behavioral Health Care Manager Resume
The section contact information is important in your behavioral health care manager resume. The recruiter has to be able to contact you ASAP if they like to offer you the job. This is why you need to provide your:
- First and last name
- Telephone number
Work Experience in Your Behavioral Health Care Manager Resume
The section work experience is an essential part of your behavioral health care manager resume. It’s the one thing the recruiter really cares about and pays the most attention to.
This section, however, is not just a list of your previous behavioral health care manager responsibilities. It's meant to present you as a wholesome candidate by showcasing your relevant accomplishments and should be tailored specifically to the particular behavioral health care manager position you're applying to.
The work experience section should be the detailed summary of your latest 3 or 4 positions.
Representative Behavioral Health Care Manager resume experience can include:
- Communicates and consults with the members of the RI Public Plans team as appropriate, including but not limited to: Inpatient acute care manager, transitions care manager, complex/chronic care managers as well as pharmacist, social workers and VNA partners
- Experience in managing behavioral healthcare operations
- Experience in Behavioral health case management with SMI Population, case management and discharge planning is required
- Experience working with the needs of vulnerable populations who have chronic or complex bio- psychosocial needs is required
- Working with the needs of vulnerable populations who have chronic or complex bio-psychosocial needs
- Nursing Home team
Education on a Behavioral Health Care Manager Resume
Make sure to make education a priority on your behavioral health care manager resume. If you’ve been working for a few years and have a few solid positions to show, put your education after your behavioral health care manager experience. For example, if you have a Ph.D in Neuroscience and a Master's in the same sphere, just list your Ph.D. Besides the doctorate, Master’s degrees go next, followed by Bachelor’s and finally, Associate’s degree.
Additional details to include:
- School you graduated from
- Major/ minor
- Year of graduation
- Location of school
These are the four additional pieces of information you should mention when listing your education on your resume.
Professional Skills in Behavioral Health Care Manager Resume
When listing skills on your behavioral health care manager resume, remember always to be honest about your level of ability. Include the Skills section after experience.
Present the most important skills in your resume, there's a list of typical behavioral health care manager skills:
- Excellent time management skills. Able to set priorities and complete work within timeframes
- Two years direct clinical experience. Solid understanding of different levels of care in behavioral health
- Previous experience in case management/utilization management with a broad range of experience with complex psychiatric/substance abuse case
- To effectively present information and respond to questions from peers and management
- Working knowledge of Medicare and Medicaid programs and experience with regulatory compliance and reporting requirements
- Experience working with Microsoft Office (Outlook, Word, and Excel)
List of Typical Experience For a Behavioral Health Care Manager Resume
1
Experience For Behavioral Health Care Manager / Consultant Resume
- Demonstrates leadership that fosters a culture of continuous improvement and camaraderie in the department
- Maintain open level of communication with treating physician and case managers in planning and directing each individuals treatment program
- Provides oversight on a daily basis including but not limited to staffing assignments, crisis management or as directed by the Director of Behavioral Health
- Provide ongoing supportive counseling/therapy to individuals and family members
- Interact with department identifying variances to care coordination and specific payment and level of care situations
- Interface with state agencies including DMA, DSS, and DMH to facilitate appropriate care
- Develops daily staffing strategies to ensure appropriate coverage to meet daily and unexpected requirements
- Develops and maintains relationships and expert knowledge of community resources/providers and agencies
- Collaborate with hospital case management, utilization departments, multidisciplinary teams to address member barriers to discharge
2
Experience For Behavioral Health Care Manager Lcsw Resume
- To ensure that Network Health members receive timely response to requests and concurrent reviews for behavioral health services and to ensure appropriate level of care of the membership while in acute care, diversionary, or ambulatory levels of care
- Conduct precertification and concurrent reviews of acute/postacute facility LOS and coordinate discharge plans for step-down and ambulatory levels of care and available community resources
- Coordinate the delivery of services to members throughout the continuum of care and interface with appropriate providers to meet these services
- Identify through Proactive concurrent reviews high-risk/high cost complex members for appropriate program case management
- Perform case management interventions for the identified population, as appropriate
- Hand-off to disease/program specific diagnosis to appropriate case manager for program admission as appropriate
- Coordinate care with medical and social case management
3
Experience For Behavioral Health Care Manager, RN Resume
- Communicate effectively with Associate Medical Director regarding identified variances or specific members according to criteria utilized for appropriate level of care
- Provide clinical coverage for the clinical access line and maintain standards for responsiveness
- Identify opportunities for improvement and develops action plans when necessary
- Conduct extended care reviews for ambulatory BH services
- Collaborate with BH Specialists around clinical network management issues
- Participate in task forces and other committees
- Provides education and support to the BH Care Manager Team or as requested by other SHCN Programs when there are challenging cases or topics requiring BH subject matter expertise at the direction of the Director of Behavioral Health
4
Experience For Behavioral Health Care Manager Lead-indiana Resume
- Maintains awareness of key performance indicators/metrics and manages caseload through appropriate management of medical expenses. Coordinates interventions to prevent adverse events such as ED visits, hospital admissions and readmissions
- Instruct and counsel individuals regarding compliance with prescribed therapeutic regimes
- Assesses, plans, implements, monitors and evaluates options and services to meet complex psychosocial health needs of outpatient members
- Conducts comprehensive member assessments and performs clinical intervention through the development of a care management treatment plan specific to each member with high level acuity needs
- Provides care coordination and care management to members with severe mental illness who have high rates of behavioral health utilization and/or severe psychosocial vulnerability. Works towards achievement of optimal clinical and resource outcomes
- Interprets psychiatric treatment to patient's family and helps to reduce fear and other attitudes obstructing acceptance of psychiatric care and continuation of treatment
- Assess, develop and coordinate a clinical treatment program for individuals with acute or chronic psychiatric disorders in a post-acute care setting
- Makes referrals to case managers, as appropriate, and/or refers patient's family to community
- Provides clinical consultations and thorough psychosocial evaluations as in integral part of the Care Management team
5
Experience For Behavioral Health Care Manager Tx-irving After Hours Lcsw Resume
- Oversee individual treatment and progress in accordance with SHCN policy and procedure, along with state regulations
- Interpret psychiatric treatment to individuals family and help to reduce fear and other attitudes obstructing acceptance of psychiatric care and continuation of treatment
- Make referrals to case managers, as appropriate, and/or refers individual's family to community support services and resources. Utilize resources of public and private agencies and community organizations to meet the needs of individuals
- Provide ongoing education to case managers to promote understanding of individuals psycho/social needs; and assist with referrals to other disciplines
- Develop and implement support or assistive programs when necessary
- Provide solutions to complex clinical problems through analysis, identification of programs and opportunities for improvement, to align with strategic plan of SHCN and Care Management
- Take action in solving problems while exhibiting judgment and a realistic understanding of issues; able to use reason, even when dealing with emotional topics
6
Experience For Behavioral Health Care Manager Tx-irving Day Shift Lcsw Resume
- Remain open-minded and change opinions on the basis of information; perform a wide variety of tasks and change focus quickly as demands change; manage transitions effectively from task to task
- Possesses a strong belief in an organizational culture that encourages valuing and best service excellence practices demonstrated through personal behavior and work ethic
- Travel, valid drivers license, auto liability insurance coverage according to company policy
- Leads scheduled case conferences with treaters and is the individual responsible for ensuring agreement by member and treaters and updates to plan of care. Facilitates the integration of behavioral health (BH), medical primary care services, community resources and social work
- Assist with discharge planning for behavioral health and medical admissions and services accessed by Members case-managed in Super Care Management such as acute inpatient, sub-acute residential, diversionary, inpatient detoxification, or outpatient levels of care
7
Experience For Behavioral Health Care Manager Resume
- Communicate and consult regularly with internal physicians, directors, managers, and peers to ensure thorough provision and continued effectiveness of case management services
- Comply with and participate in trainings, meetings, projects, record-keeping, and other administrative tasks aside from those directly related to Member case management that are implemented at the discretion of Department leadership
- Assist with discharge planning for behavioral health admissions and services accessed by Members case-managed in Super Care Management such as acute inpatient, sub-acute residential, diversionary, inpatient detoxification, or outpatient levels of care
- Collaborate with the Physician Advisor; assess appropriateness and effectiveness of recommended treatment and care
- Experience with COE/COT
- Support and closely coordinate mental health care with the patient’s primary care provider and, when appropriate, other mental health providers
- Screen and assess patients for common mental health and substance abuse disorders
- Support psychotropic medication management prescribed by PCPs, focusing on treatment adherence, side effects and other complications, and effectiveness of treatment
8
Experience For Behavioral Health Care Manager / Consultant Resume
- American Heart Association (AHA) BLS Provider Certification required
- In Hawaii, the incumbent monitors the effect of medications, provides medication administration and education as needed under guidance of the Psychiatrist. Provides education and clinical care for medical conditions and assists the Psychiatrist with member adherence to medications
- Adhere to clinical standards of care through collaboration with providers; practice and adhere to departmental and State guidelines; Monitor for appropriate outcomes
- Communicate with patients, family, and other medical personnel in a timely fashion, as necessary, to facilitate a mutually desired outcome
- Assist with discharge planning for behavioral health admissions and services accessed by Members case-managed in BH-ICM such as acute inpatient, sub-acute residential, diversionary, inpatient detoxification, or outpatient levels of care
9
Experience For Behavioral Health Care Manager Lcsw Resume
- Provide primary (mental health outreach), secondary, and tertiary mental health services to eligible members of the UGA community
- Document patient progress and treatment recommendations in EHR and other required systems so as to be shared with medical providers, psychiatric consultant, and other
- Be an active, respectful, and engaged member of the treatment team
- Collaborate with all staff to improve clinical outcomes, patient/client flow, and operational functions
- Track patient follow up and clinical outcomes using a registry. Document in-person and telephone encounters in the registry and use the system to identify and re-engage patients
10
Experience For Behavioral Health Care Manager, RN Resume
- Document patient progress and treatment recommendations in EHR and other required systems so as to be shared with medical providers, psychiatric consultant, and other treating providers
- Complete documentation required to address COE/COT requirements and consumer transitions
- Meet with consumers in-person wherever they are located - facilities, provider offices, and in homes as appropriate for market
- Establish and foster positive relationships with interdisciplinary team, participate in medical-behavioral integration activities and discussions
- Identify high-risk, co-morbid needs of consumers and address in care plans
- Collaborate with providers to determine acuity of behavioral health concerns, barriers and progress; coordinate appropriate services
- Court Ordered Evaluation (COE)
List of Typical Skills For a Behavioral Health Care Manager Resume
1
Skills For Behavioral Health Care Manager / Consultant Resume
- Experience working with electronic databases, multiple PC’s, data entry, and typing
- Medical/Behavioral setting experience (i.e. community mental health, managed care organization, or joint medical/behavioral outpatient practice)
- Valid Driver' s License with Automobile Insurance Coverage
- Experience with facility-based and/or outpatient psychiatric and substance abuse or substance abuse disorder treatment
- Practice safe, effective and appropriate mental health care
2
Skills For Behavioral Health Care Manager Lcsw Resume
- Demonstrate consistent cooperativeness, courtesy, confidentiality, cultural sensitivity, and tact
- Experience working in a Patient-Centered Recovery Focused Model
- Valid driver’s license w/auto insurance
- Two years experience in Concurrent Review/Utilization management in behavioral health acute care or managed care
- Working knowledge of Microsoft applications (i.e. Word, Excel, etc.), required. Ability to utilize and work with databases, as required
- Indiana licensure in one of the following professions: LCSW, LMSW, LMHC, LPC, LBA, LMFT, or Clinical Psychologist
3
Skills For Behavioral Health Care Manager, RN Resume
- Masters in Science or Arts in Social Work, counseling or a related behavioral health field
- Manage own time and job responsibilities with sensitivity to the needs of patients and collaborating professionals
- One of the following credentials is required
- Intermediate Healthcare Management Systems (Generic) is required LI-RG1
- Healthcare Management Systems (Generic) I-RG1
- Experience with facility-based and/or outpatient psychiatric and substance abuse or substance abuse disorder treatment; or any combination of education and experience, which would provide an equivalent background
- Indiana Registered Nurse license
4
Skills For Behavioral Health Care Manager Lead-indiana Resume
- Comfortable with multi-tasking, following detailed instructions, typing, Computers, Medicaid knowledge, and Behavioral Health level of care knowledge and/or expertise
- Work collaboratively with healthcare professionals at all levels to achieve established goals and improve outcomes
- Microsoft Outlook s required
- Uses appropriate screening criteria, knowledge and clinical judgment to assess member needs to ensure access to medically necessary, quality behavioral healthcare in a cost effective setting in accordance with UM Clinical Guidelines and contract
- Current active unrestricted license as an RN, LCSW, LPC, LMFT, LMSW, LMHC, (as allowed by Iowa state law), to practice as a health professional within the scope of licensure in Iowa required
- Current active unrestricted license as an LCSW, LPC, LMFT, or RN from the state of Virginia required
5
Skills For Behavioral Health Care Manager Tx-irving After Hours Lcsw Resume
- Current active unrestricted license as an LCSW, LPC, LMFT, or RN from the state of Texas required
- Perform and document mental health diagnosis, treatment, education, and coordination of care
- Experience with facility-based and/or outpatient psychiatric and substance abuse or substance abuse disorder treatment; or any combination of education and experience, which would provide an equivalent background
- Current active unrestricted license as a RN, LCSW, LMHC, or Clinical Psychologist to practice as a health professional within the scope of licensure in the state of New York
- CASAC (Credentialed Alcoholism and Substance Abuse Counselor)
- Current active unrestricted license as an RN, LCSW, LMSW, LMHC, LPC, LMFT, or Clinical Psychologist to practice as a health professional within the scope of licensure in the State of Tennessee required
- Experience in a related mental health environment
6
Skills For Behavioral Health Care Manager Tx-irving Day Shift Lcsw Resume
- Access to reliable transportation and the ability to accommodate field-based travel (up to 70%)
- Current active unrestricted license as an RN, LCSW, LPC, LMFT, or Clinical Psychologist, to practice as a health professional within the scope of licensure in the state of Georgia required
- Intermediate Other Ability to provide crisis intervention services to members under the supervision of the medical director
- Current active unrestricted license in Texas as an RN, LCSW, LMSW, LMHC, LPC, LBA (as allowed by applicable state laws), LMFT, or Clinical Psychologist, to practice as a health professional is required
- Residency in the State of PA required
- Licensed Clinical Social Workers (LCSW)
- Licensed Professional Counselors (LPC)
- Licensed Marriage and Family therapists (LMFT)
7
Skills For Behavioral Health Care Manager Resume
- Licensed Addiction Counselors (LAC)
- Licensed Clinical Social Worker or Licensed Professional Counselor or Licensed Marriage and Family Counselor Licensed Certified Drug and Alcohol Counselor, Certified Drug and Alcohol Counselor, Board Certified Behavior Analyst required
- Certificate/License: RN, LICSW,LMHC, Clinical Nurse Specialist, or Licensed Psychologist
- Experience: Required 2 years of experience in behavioral health management and/or acute behavioral health care setting focusing on outpatient/inpatient utilization, case management and discharge planning
- Current active unrestricted license as an RN, LCSW, LMSW, LMHC, LPC, LMFT, or Clinical Psychologist, to practice as a health professional within the scope of licensure in applicable states or territory of the United States required
8
Skills For Behavioral Health Care Manager / Consultant Resume
- Direct practice in a Children’s Behavioral Health Level of Care ( ie. BHRS, FBMHS, RTF, etc)
- Familiarity with health plan case management, care management, and community outreach activities
- Licensed Clinical Social Worker, Licensed Professional Counselor, Ph.D in Psychology, Licensed Marriage & Family Therapist, Licensed Certified Drug and Alcohol Counselor, Certified Drug and Alcohol Counselor, Board Certified Behavior Analyst required
- Demonstrates knowledge of a variety of approaches to intervention and support
- Experience in behavioral health management and/or acute behavioral health care setting focusing on outpatient/inpatient utilization, case management and discharge planning
- Experience in current case management as a licensed professional
9
Skills For Behavioral Health Care Manager Lcsw Resume
- Two to three (2-3) years experience and expertise in the special behavioral health needs
- Uses appropriate screening criteria knowledge and clinical judgment to assess member needs to ensure access to medically necessary quality behavioral healthcare in a cost effective setting in accordance with UM Clinical Guidelines and contract
- Performs psychiatric and substance abuse or substance abuse disorder assessment coordination implementation case planning monitoring and evaluating to promote quality member outcomes to optimize member health benefits and to promote effective use of health benefits and community resources
- Help to reduce hospital readmission and inpatient stays by identifying members with barriers to self-management
- Serve as a resource to other BH Care Managers
10
Skills For Behavioral Health Care Manager, RN Resume
- Assist with more complex cases
- Unless otherwise excused, attend at least 70% of CAPS staff and all required UHC staff meetings. Serve on UHC/Clinic committees, Student Affairs committees, and UGA committees as assigned
- Maintain professional license by participating in continuing education focused on the clinical needs of the student population
- Master's level independent or non-independent license is required
- Master's level independent or non-independent license is required is required
List of Typical Responsibilities For a Behavioral Health Care Manager Resume
1
Responsibilities For Behavioral Health Care Manager / Consultant Resume
- Court Ordered Treatment (COT)
- Certified Social Worker (C-SW) is required LI-RG1
- Master's level independent or non-independent license is required OR is required
- Master's level independent or non-independent license is required OR an RN with a behavioral health background
- A master's level independent or non-independent license is required OR an RN with a behavioral health background
- Clinical Social Worker (LCSW)
- Social Worker (C-SW) is required
- Virginia residency required
- Iowa residency required
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