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    Behavioral Health High Acuity Team - Dover, United States - Highmark Health

    Highmark Health
    Highmark Health Dover, United States

    3 weeks ago

    Highmark Health background
    Description
    Company: Highmark Inc.
    Job Description:
    JOB SUMMARY
    This position involves providing telephonic integrated behavioral and physical health case and condition management services to members dealing with mental health, substance use, and co-morbid chronic medical conditions. The focus is on serious mental illness, untreated mental health, alcohol use, and opioid use. The incumbent utilizes clinical and motivational interviewing skills to assess behavioral and physical health needs, as well as social determinants of health, to establish mutually agreeable short and long-term health goals. They assist members in developing self-management skills, adopting positive behavior changes, identifying and addressing care gaps, resolving barriers to evidence-based care, helping members navigate the healthcare system, and connecting them with online, telephonic, and community-based resources. The main objective is to guide members through the healthcare system and empower them to manage their conditions through behavior change.
    ESSENTIAL RESPONSIBILITIES
    • Act as the primary contact for members with Opioid Use Disorder (OUD)/Behavioral Health along with co-morbid medical conditions, including pregnancy, to offer intensive case management interventions. Provide members with resources and tools for making health-related decisions. Conduct clinical and psycho-social assessments over the phone or in the community to address the health and wellness needs of members.
    • Collaborate with case and condition management teams to provide co-management activities for members requiring additional services. Engage in ongoing training and educational activities related to behavioral health and medical topics. Actively incorporate lifestyle improvements and prevention opportunities into member interactions and coaching. Educate on evidence-based treatment.
    • Utilize a standard case management approach to manage members' conditions (Motivational interviewing; Develop care plans; Establish a contact plan to review progress/assess needs; Communicate with treating provider(s); Identify community-based resources for long-term maintenance).
    • Assess social determinants of health and connect members with community resources to overcome barriers.
    • Collaborate with key community and clinical partners.
    • Perform any other duties as assigned or requested.
    EDUCATION
    Required
    • High School Diploma/GED with RN license
    OR
    • Master's Degree if Licensed Behavioral Health Professional or Licensed Social Worker
    Substitutions
    • None
    Preferred
    • None
    EXPERIENCE
    Required
    • 5 years of Post licensure experience in any combination of behavioral health clinical, case management, and/or condition management
    Preferred
    • 5 years of Advanced training and experience in cognitive behavioral therapy (CBT) and/or DBT
    • 5 years of Experience working with healthcare needs of populations with SMI and substance use disorders
    • 5 years of Experience working with healthcare needs of diverse populations
    • 5 years of Understanding of drug and alcohol system, harm reduction, and community resources
    • 5 years of Crisis management
    • 5 years of Understanding how SMI, addiction, and medical co-morbidities impact families
    • Proficiency in a second language
    LICENSES or CERTIFICATIONS
    Required
    • One of the following:
    • Registered Nurse (RN)
    • Licensed Professional Counselor (LPC)
    • Licensed Clinical Social Worker (LCSW)
    • Licensed Social Worker (LSW)
    • Licensed Marriage and Family Therapist (LMFT)
    Preferred
    • Certified Case Manager
    • CAC - Certified Addiction Counselor
    SKILLS
    • Advanced knowledge of motivational interviewing and stages of change
    • Proficiency in PC-based system applications and reporting packages, especially Microsoft Office applications
    • Understanding of confidentiality laws related to Drug and Alcohol and Behavioral Health
    • Knowledge of evidence-based practices in treating SMI/OUD/behavioral health
    • Excellent verbal and written communication skills, as well as the ability to manage multiple priorities in a fast-paced environment
    Languages (Other than English)
    None
    Travel Required
    None
    PHYSICAL, MENTAL AND WORKING CONDITIONS
    Position Type
    Office-Based
    Regularly teaches/trains others
    Does Not Apply
    Occasionally travels from the office to various work sites or between sites
    Never works primarily out of the office selling products/services (sales employees)
    Physical work site required: Yes
    Lifting: up to 10 pounds (Rarely)
    Lifting: 10 to 25 pounds (Rarely)
    Lifting: 25 to 50 pounds (Never)
    Disclaimer: The role described outlines the general nature and fundamental duties and responsibilities of employees in this position. It may not encompass a comprehensive inventory of all duties, responsibilities, and qualifications required of employees in this role.
    Compliance Requirement: This role adheres to ethical and legal standards and behavioral expectations as defined in the company's code of conduct and policies.
    As part of their job responsibilities, employees may have access to sensitive information, cardholder data, or other confidential customer details that must be safeguarded at all times. Therefore, all employees must comply with HIPAA regulations, as described in the Notice of Privacy Practices, Privacy Policies and Procedures, as well as all data security guidelines outlined in the Company's Privacy Policies and Practices Handbook and Information Security Policy.
    Additionally, it is the responsibility of every employee to abide by the company's Code of Conduct. This includes, but is not limited to, adherence to relevant federal and state laws, rules, and regulations, as well as company policies and training requirements.
    Pay Range Minimum:
    $67,500.00
    Pay Range Maximum:
    $124,800.00
    Base pay is contingent on various factors such as the candidate's qualifications, experience, expected contributions, as well as internal equity, market, and business considerations. The provided salary range does not reflect potential geographic differentials that Highmark may apply based on market comparisons.
    Hiring decisions at Highmark Health and its affiliates are not influenced by an individual's status as a protected veteran or individual with a disability. Discrimination based on race, color, age, religion, sex, national origin, sexual orientation/gender identity, or any other legally protected category is strictly prohibited. Highmark Health and its affiliates actively promote equal opportunity employment, regardless of race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status, or disability.
    EEO is The Law
    Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity
    We strive to ensure this site is accessible to all users. If you need assistance in completing the application process or have concerns about the website's accessibility, please contact our HR Services Online.
    California Consumer Privacy Act Employees, Contractors, and Applicants Notice
    Req ID: J242980
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