Behavioral Health Case Manager Resume Sample
Alana Brown
322 Ward Flat,
Boston,
MA
+1 (555) 852 6006
Work Experience
Behavioral Health Case Manager
09/2015
-
PRESENT
Dallas, TX
- An RN or Social Worker is required for this role, with specific requirements being one of the following
- Acute care nursing or social work experience, or five (5) years of behavioral health drug and alcohol work experience
- One (1) year experience in case coordination and planning as well as experience in project implementation and execution
- Proven informal leadership skills
- Work independently, setting priorities to coordinate care plans efficiently
- Highly organized and detail oriented with the ability to perform multiple tasks simultaneously
- Effective behavioral and educational strategies, including but not limited to: motivational interviewing, teach-back methods and self-management support
- Demonstrated experience successfully working among multi-disciplinary teams
LTC Behavioral Health Case Manager
07/2010
-
07/2015
Detroit, MI
- Master’s level licensed behavioral health professional -OR- a licensed Registered Nurse with an active unrestricted license in the State of New York required
- Proficient computer and Windows skills required, including MS Office
- Exhibits creativity, self-motivation, flexibility, and effective problem-solving skills
- Self-starter with high level of accountability and responsibility
- Adheres to the Case Managers’ ethical principles and standards as described in the CMSA’s Standards of Practice
- Utilizes informatics data to determine member needs
- Establishes a complete treatment plan to improve and/or maintain member’s level of functioning in the community and tenure in the community setting
- Conducts education activities as related to member’s condition and needs
Licensed Behavioral Health Case Manager
05/2007
-
01/2010
New York, NY
- Interfaces with other programs, agencies and providers to plan and coordinate member care
- Follows members through different levels of care as required
- Participates in discharge planning activities when member is admitted to higher level of care
- Coordinates transition of care back to the community
- Participates in inter/multidisciplinary rounds and case discussions as applicable to the member care and treatment
- Coordinates closely with UM in monitoring member progress in higher levels of care and planning transition of care
- Follows protocols, policies and procedures for working with specific population groups, e.g. depression, addiction population members with high recidivism, etc
- Review for medical appropriateness psychiatric/substance abuse cases utilizing professional knowledge to apply Behavioral Health clinical criteria and render certification decisions that are within the scope of practice that is relevant to the clinical areas under review
Education
Strayer University - Center City Campus
2003 - 2007
Master's Degree in Nursing
Professional Skills
- Case management experience, group therapy experience, utilization review experience, and assessment experience
- Demonstrates understanding and adherence to all financial expectations and regulatory requirements
- Ensures all activities are member-focused and individualized, resulting in personalized attention to each patient’s unique needs
- Identifies interventions and resources to assist member reaching personal health related goals
- Participates in cross-functional teams, projects and initiatives
- Meets productivity standards as established by the Senior Clinician and/or Program Manager
- Identifies patterns and episodes of care that are predictive of future needs and services
How to write Behavioral Health Case Manager Resume
Behavioral Health Case Manager role is responsible for health, computer, clinical, windows, excel, finance, training, integration, database, insurance.
To write great resume for behavioral health case manager job, your resume must include:
- Your contact information
- Work experience
- Education
- Skill listing
Contact Information For Behavioral Health Case Manager Resume
The section contact information is important in your behavioral health case 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 Case Manager Resume
The section work experience is an essential part of your behavioral health case 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 case 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 case 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 Case Manager resume experience can include:
- Case management and/or Utilization management experience
- Monitor and evaluate effectiveness of care plan and modifies plan as needed
- Support member access to appropriate quality and cost effective care
- Understanding of healthcare and/or health insurance industry
- Independently conferences with treating providers and/or other higher level facilities to evaluate clinical symptomatology present in claimants being managed
- Conduct follow up telephonic calls with members recently discharged from an inpatient care setting
Education on a Behavioral Health Case Manager Resume
Make sure to make education a priority on your behavioral health case 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 case 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 Case Manager Resume
When listing skills on your behavioral health case 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 case manager skills:
- Proficient computer and Windows skills required, including MS Office. Exhibits creativity, self-motivation, flexibility, and effective problem solving skills
- Excellent computer skills and good working knowledge of Microsoft Word and Excel and electronic medical records
- Home health, skilled nursing facility and/or community health nursing -or- clinical social work
- Ability and flexibility to assume responsibilities and prioritize tasks in a fast paced and constantly changing work environment
- Four (4) years of experience in a behavioral health clinical and/or care coordination setting required
- Experience working with members across the age continuum
List of Typical Experience For a Behavioral Health Case Manager Resume
1
Experience For LTC Behavioral Health Case Manager Resume
- Experience working with Medicaid population
- Refers cases formally to peer advisor when unable to render a certification decision using Behavioral Health clinical criteria and guidelines
- Contact the member to complete an appropriate care plan based on member diagnoses and risk stratification
- Follow up with all HRAs received which indicate the need for a specialized care plan based on the member’s disease state
- Determine the members risk stratification based on information received from the HRA and utilization data
- Develop and monitor the care plan for progress and goal attainment
2
Experience For Lcsw Behavioral Health Case Manager Resume
- Navigate members through care transitions and ensure all pre- and post- services are coordinated
- Generates the appropriate correspondence within the established timeframes
- Utilizes clinical rounds and case consultation with clinical supervisor, peer advisors, and/or medical director for cases outside the criteria or those that are not progressing
- Identifies high-risk enrollees, creates care plans to address problems while maintaining quality of care. (Information is collected from the patient, caregiver(s), health care providers and other relevant parties)
- Utilizes advanced clinical skills to make effective decisions to meet the enrollee’s health needs, using education, communication, and all available resources to promote quality, cost-effective outcomes
- Collaborates with the Optum and health plan staff to ensure proper resource allocation and utilization to facilitate quality cost-effective patient outcomes
- Participates in joint rounds with the HP
- Identifies Behavioral Health cases with unmet medical needs and makes referral to the medical care team
3
Experience For Licensed Behavioral Health Case Manager Resume
- Co-manages Behavioral Health members with co-morbidities
- LMSW, LCSW, LMHC, or, CASAC, and RN required
- Assessment of behavioral health members
- Enhancement of behavioral health appropriateness and quality of care
- Educate and empower patients and families to make informed personal health care decisions in order to reach health care goals
- Assist patients, their families and providers with navigation of health plan and community resources
- Facilitate communication between patients, physician, health plan, and community resources
- Licensed in Minnesota as a Licensed Independent Clinical Social Worker (LICSW), Licensed Psychologist (MA-LP or PhD-LP), Licensed Professional Clinical Counselor (LPCC), or Licensed Marriage and Family Therapist (LMFT)
- Demonstrated effective clinical judgment and skills
4
Experience For Behavioral Health Case Manager Altcs Resume
- Organize and prioritize multiple assignments
- Demonstrated ability to work both independently and collaboratively as part of a diverse workforce
- Conducts assessments of patient/family needs bi coordinating input from all health professionals and formulating a documented plan assuring continuity of care for the rising and high risk patients
- Delegates care coordination based on situation while assuming accountability for patient outcomes. Supports assistive personnel; service as a resource and hold assistive personnel accountable to complete delegated tasks
- Identifies appropriate providers, facilities, external healthcare organizations throughout the continuum of care and communicates with an interdisciplinary treatment team to develop and maintain positive working relationships with patients, families, and providers
- Functions as a coordinator and manager of a patient with behavioral health co-morbidities across the care stings and for multiple physicians/ health care providers or health plan counterparts. Works closely with their assigned primary care department. Practice to offer individualized assistance with improving and maintaining quality patient care
- Monitors the medical treatment to ensure quality, effective, and cost-efficient care
- Provides clinical oversight and guidance to team members
- In conjunctions with the practice team, identifies patients at risk for poor outcomes or experiencing poor coordination of services who would benefit from more intensive follow-up
5
Experience For Behavioral Health Case Manager Remote Resume
- Provides chronic disease and self-management education and support
- Coordinate with internal and external resources to meet identified needs of the members and collaborates with providers
- Some field work is required (mileage and tolls reimbursed)
- Current, active, and unrestricted LCSW, LPC, LMFT, or RN license in the state of Virginia
- Conducts comprehensive evaluations of disability claimants' functionality via functional assessments
- Independently reviews and interprets clinical information and utilizes established clinical guidelines and protocols
- Drives the crisis support initiative for the disability organization by assessing crisis situations and initiating the threat protocol process when deemed clinically appropriate
- Advises on highly complex claims at multidisciplinary clinical review roundtables to ensure optimal outcomes
- Determines when claims contain quality of care issues and escalates these through established channels
6
Experience For Behavioral Health Case Manager Autism Resume
- Leverages resources such as vocational rehabilitation, risk management unit, physician reviews, home assessments, etc
- Manages risk and resources on highly complex behavioral health claims
- Identifies appropriate return to work options and/or barriers in order to partner with internal resources and ensure a smooth transition to employability and normal activities
- Registered nurse with active licensure; with behavioral health/mental health experience
- Foster Care experience highly desired
- Clinical experience in a behavioral health role, post licensure
- Hands-on clinical experience in behavioral health, post licensure
- Reviews clinical integration systems and determines appropriate referral resources to achieve optimum level of health
7
Experience For Behavioral Health Case Manager Resume
- Supports the leadership team by demonstrating understanding of customer needs and expectations as well as ensuring performance objectives are met, contributing to the success of the organization
- Ensures excellent documentation that clearly and concisely communicates focus of functionality vs. impairment and provides a recommendation of support or non-support of clinical findings
- Collaborates with Disability Benefits Manager and other key players (vocational rehabilitation consultants, medical nurse reviewers, etc.) for proactive movement of claim to resolution
- Manages STD to LTD transition on all behavioral health claims, coordinating with all resources necessary to ensure a seamless process
- Licensed independent Behavioral Health clinician in state of service with unrestricted license
- Facilitating a team approach, including leading and/or involvement in a SUD Interdisciplinary Care Plan meeting, ensuring appropriate SUD related interventions are available, and staying up-to-date on cost effective delivery of quality care and services across the SUD continuum
- Ensuring coordination of care of individual members through vendor management to identified populations using assessments, care planning, implementations, coordination, monitoring, and evaluation for cost effective and quality outcomes
8
Experience For LTC Behavioral Health Case Manager Resume
- Completes timely clinical and administrative reports and documents as directed and required by policies and procedures
- Works with finance and data team to track program successes
- Serves as SME for all SUD related issues, programs, and projects
- Ensures that necessary reviews are identified to be completed each day. Necessary paperwork to document reviews are
- Ensures the appropriateness of hospitalization or continued hospitalization in accordance with approved criteria
- Current, unrestricted license to practice in the state of Minnesota
- Proficient in MS Office Suite programs (Word, Outlook, Excel, Internet)
9
Experience For Lcsw Behavioral Health Case Manager Resume
- Available to meet with members in hospitals/provider offices in Milwaukee at least 4 times a week
- Clinical experience in social work counseling with broad range of experience with complex 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 an RN, LCSW (as applicable by state law and scope of practice) LMHC, LPC (as allowed by applicable state laws) 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
- LPN with 1 or more years of managed care experience
- Travel within designated region of Michigan as needed to meet with members, providers, etc
- Deliver Outcomes – Drive exceptional performance to move the company forward
- Work as a Team – Collaborate inclusively to achieve the best results
10
Experience For Licensed Behavioral Health Case Manager Resume
- Strive for Excellence – Always look for ways to continuously improve
- The Adult inpatient units are a newly expanded 56 bed department with a diverse patient population
- We have greatly expanded our inpatient programming which includes spiritual care, nutritional education, process therapy, cognitive behavioral therapy, yoga, recreational therapy, nursing education and pet therapy
- We have expanded our services to include Electroconvulsive therapy
- We provide a specialized multidisciplinary approach to treatment
List of Typical Skills For a Behavioral Health Case Manager Resume
1
Skills For LTC Behavioral Health Case Manager Resume
- Experience using specific behavioral health criteria or protocols
- Clinical practice experience (discharge planning, disease management, med surg, ICU/CCU & ER)
- Three or more years of BH case management, discharge planning, and/or BH utilization review experience
- Community Mental Health experience; knowledge of state resources
- Excellent knowledge base of community resources and roles of various community agencies
- Experience in behavioral health settings that includes inpatient, partial, and/or outpatient care required
- Case management experience
- Clinical psychiatric or chemical dependency experience req
2
Skills For Lcsw Behavioral Health Case Manager Resume
- Strong knowledge of Medicare and managed care practices and benefit guidelines
- Uses appropriate screening criteria knowledge and clinical judgment to assess member needs
- Provides training to the Medical Care Team on Behavioral Health issues
- Provide telephonic care coordination to patients, their families, and providers in addressing behavioral health conditions
- Coordinate service coverage with appropriate funding sources when indicated
- Participates on a team for data collections, health outcomes reporting, clinical audits, and programmatic evaluation related to initiatives
- Use appropriate screening criteria, knowledge and clinical judgment to assess member needs
- Conduct assessments to identify individual needs and develops care plan to address objectives and goals as identified during assessment
- Create and manage electronic member files to document member data including treatments and progress
3
Skills For Licensed Behavioral Health Case Manager Resume
- Serves as a resource to other BH Case Mgrs
- Participates in cross-functional teams projects and initiatives
- Clinical care is coordinated among the interdisciplinary service providers involved in the member’s care
- LAC, LASAC, LMSW, LCSW, or LMFT
- Position is for a Psychiatric Case Manager to work with the chronically mental ill population, those at most risk for hospitalization, and those who need more intensive services and defined by diagnosis
4
Skills For Behavioral Health Case Manager Altcs Resume
- Current active unrestricted license as an RN, LCSW (as applicable by state law and scope of practice), LMHC, LPC (as allowed by applicable state laws), LMFT, or Clinical Psychologist to practice as a health professional within the scope of licensure in the state of West Virginia required
- Clinical experience in social work, counseling with broad range of experience with complex 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 an RN, LCSW (as applicable by state law and scope of practice), LMHC, LPC (as allowed by applicable state laws), LMFT, or Clinical Psychologist to practice as a health professional within the scope of licensure in West Virginia required
- Experience working with the SED waiver population
- Direct psychiatric and/or substance abuse experience
- Current active unrestricted license as an RN, LCSW (as applicable by state law and scope of practice), LPC (as allowed by applicable state laws) or LMFT to practice as a health professional within the scope of licensure in applicable states or territory of the United States required
5
Skills For Behavioral Health Case Manager Remote Resume
- Registered Nurse with active license in the state of Tennessee or hold a license in the state of their residence if the state is participating in the Nurse Licensure Compact Law or Current, valid and unrestricted Tennessee license in a mental health field (Ph.D., LCSW/LMSW, LLP, MHC, LPC, etc.)
- Once an offer is extended a background verification process occurs to include education, criminal, professional license and professional career experience
- There are multiple openings. Our hire date is late spring including paid training
- Successful completion of CPI training (Parts 1 & 2) within 1 month or hire and annually thereafter
- Licensed in Minnesota as LICSW, LMFT, LPCC, or PhD/MA LP
- 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 applicable states or territory of the United States required
- Managed care experience required for the Level ll position
6
Skills For Behavioral Health Case Manager Autism Resume
- Current active unrestricted license as an RN, LCSW, LPC, LMFT, LMSW, or Clinical Psychologist to practice as a health professional within the scope of licensure in applicable states or territory of the United States required
- Clinical experience in social work, counseling with broad range of experience with complex psychiatric and substance abuse or substance abuse disorder treatment
- Current active unrestricted license as an RN, LCSW (as applicable by state law and scope of practice), LMHC, LPC (as allowed by applicable state laws), LMFT, or Clinical Psychologist to practice as a health professional within the scope of licensure in the District of Columbia required
- Registered Nurse with active license in the state of Tennessee or hold a license in the state of their residence if the state is participating in the Nurse Licensure Compact Law or current, valid and unrestricted Tennessee license in a mental health field (Ph.D, LCSW/LMSW, LLP, MHC, LPC, etc.)
- Current active unrestricted license as an LCSW (as applicable by state law and scope of practice), LPC (as allowed by applicable state laws), LMFT, or Clinical Psychologist to practice as a health professional within the scope of licensure in the state of Georgia required
- Licensed Clinical Social Worker (LCSW) in good standing in Oregon
- Experience using electronic documentation
- Demonstrated ability to work cooperatively within a multi-disciplinary team
7
Skills For Behavioral Health Case Manager Resume
- Working with IDD population and/or IDD waivers required
- Current, active unrestricted license in the state of Iowa required. The following are acceptable: RN, LISW, LMHC, LMSW or LMFT
- Current, unrestricted RN, LCSW, LPC license in the Virginia
- Current active unrestricted license as an LPC, LAPC, LMFT, LMSW, LCSW, or RN to practice as a health professional within the scope of licensure in the state of Georgia required
- Current Oregon or Washington driver’s license and reliable personal transportation
- MS or MA in social work, counseling, nursing or a related behavioral health field; 3 years clinical experience in social work, counseling with broad range of experience with complex 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 in the state of New York as an RN, LCSW, or LMSW, to practice as a health professional within the scope of licensure
- Competency in MS Office suite to include Word, Outlook and Excel, as well as proficiency with computers in general
8
Skills For LTC Behavioral Health Case Manager Resume
- Willingness to work on a team that is focused on Integration of BH/PH
- Knowledge of Microsoft office (word, excel, and outlook)
- Current active unrestricted license as an RN, LCSW , LMHC, LPC, LMFT, or Clinical Psychologist to practice as a health professional within the scope of licensure in state of Texas
- Clinical experience in social work counseling with broad range of experience with complex 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 an RN, LCSW (as applicable by state law and scope of practice), LMHC, LPC (as allowed by applicable state laws), LMFT, or Clinical Psychologist to practice as a health professional within the scope of licensure in the state of Florida required
- Current active unrestricted license as an RN, LCSW (as applicable by state law and scope of practice) LMHC, LPC (as allowed by applicable state laws) LMFT or Clinical Psychologist to practice as a health professional within the scope of licensure in the state of Florida required
- Current active unrestricted license as an RN LCSW (as applicable by state law and scope of practice) LMHC LPC (as allowed by applicable state laws) 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
- Home health, skilled nursing facility and/or community health nursing or clinical social work
9
Skills For Lcsw Behavioral Health Case Manager Resume
- Analyze data, assess outcome measurements and intervene appropriately
- Current active unrestricted license as an RN, LCSW (as applicable by state law and scope of practice) LMHC, LPC (as allowed by applicable state laws) LMFT or Clinical Psychologist to practice as a health professional within the scope of licensure in the state of Minnesota required
- Current active unrestricted license as an RN, LCSW (as applicable by state law and scope of practice) LMHC, LPC (as allowed by applicable state laws) LMFT or Clinical Psychologist to practice as a health professional within the scope of licensure in West Virginia required
- Current active unrestricted license as an LCSW, LPC, LMFT, or RN, to practice as a health professional within the scope of licensure in state of Texas
- Clinical experience in social work, counseling with broad range of experience with complex psychiatric and substance abuse or substance abuse disorder treatment
10
Skills For Licensed Behavioral Health Case Manager Resume
- Experience in case management and telephonic coaching with members with a broad range of complex psychiatric/substance abuse and/or medical disorders required
- Flexibility in being assigned to various programs or projects as assigned by management that are subject to change
- Reliable transportation and auto liability required for potential field work
- Clinical experience in social work counseling with broad range of experience with complex psychiatric and substance abuse or substance abuse disorder treatment; or any combination of education and experience which would provide an equivalent background
- Previous experience in case management and telephonic and/or in person coaching with members with a broad range of complex psychiatric/substance abuse and/or medical disorders
List of Typical Responsibilities For a Behavioral Health Case Manager Resume
1
Responsibilities For LTC Behavioral Health Case Manager Resume
- Dedicated recreational therapist and group facilitators
- Atlanta GA, (Numerous offices within the area)
- Campus at Greenhill 108 Leigus Road Wallingford, CT 06492
- Responsible for performing telephonic or face-to-face history and program needs assessments using a tool with predefined questions for the identification, evaluation, coordination and management of member's program needs
- Conducts assessments to identify individual needs and develops care plan to address objectives and goals as identified during assessment. Monitors and evaluates effectiveness of care plan and modifies plan as needed
- Supports member access to appropriate quality and cost effective care. Coordinates with internal and external resources to meet identified needs of the members and collaborates with providers
2
Responsibilities For Lcsw Behavioral Health Case Manager Resume
- Supportive RN Managers
- BHT and HUS support
- Current LMHC, LICSW, RN required
- MS or MA in social work, counseling, nursing or a related behavioral health field; 3 - 4 years of clinical experience in social work, counseling with broad range of experience with complex psychiatric and substance abuse or substance abuse disorder treatment; or any combination of education and experience, which would provide an equivalent background
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