Role Description
The job profile for this position is Case Management Lead Analyst, which is a Band 3 Senior Contributor Career Track Role.
As a Behavioral Licensed Clinician on our 24/7 Clinical Support Team, you will deliver expert, compassionate care across a wide spectrum of behavioral health needs. This team is designed to ensure continuity—each Behavioral Licensed Clinician remains with the customer throughout their journey, becoming a trusted clinical partner.
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Serve as a consistent clinical point of contact for each member from first engagement through every stage of their wellness journey
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Assess members’ immediate risk and clinical needs using evidence-based models and clinical acumen
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Provide real-time crisis de-escalation, safety planning, and risk management
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Identify biopsychosocial needs and collaborate with the member to determine solutions and next steps
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Develop SMART goals that empower members to lead and maintain a healthy lifestyle
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Assess readiness to change and implement actions to assist members in moving through stages of change to reach their goals
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Shepherd members to appropriate clinical care, treatment programs, and community resources
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Incorporate a variety of modalities to educate members about benefit plans, coverage, and care navigation
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Leverage an evidence-based specialized curriculum in a wide range of clinical areas that support our members’ unique needs
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Perform research and provide relevant educational or support resources tailored to the member’s situation
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Partner with internal colleagues to ensure timely follow-up, case collaboration, and seamless care transitions
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Demonstrate agility in balancing real-time queue work with out-of-queue case management responsibilities
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Exhibit diplomacy, empathy, and professionalism—even in difficult conversations or with resistant participants
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Comply with HIPAA and uphold strict confidentiality and compliance standards while demonstrating sound clinical documentation practices
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Able to manage multiple health records and systems to accurately document customer interactions and progress
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Communicate effectively and succinctly in both verbal and written format
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Perform other related duties incidental to the work described herein
Qualifications
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Master’s degree or PhD in a mental health field (e.g., Social Work, Counseling, Psychology) or RN with psychiatric specialization
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Current independent clinical license (e.g., LCSW, LPC, LMFT, LPCC, PhD, PsyD, PMHNP, or RN with psychiatric focus)
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Minimum 5 years of post-licensure experience as a behavioral health or substance use clinician preferred
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Demonstrated use of evidence-based approaches, including brief therapy, cognitive-behavioral therapy, and motivational interviewing
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Experience working in or with managed care environments preferred
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Experience with direct member communication (written and verbal), experience in telephonic counseling/coaching preferred
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Required to obtain AAS Crisis Specialist Certification within the first year of employment
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EAP (Employee Assistance Program) experience and CEAP certification preferred but not required
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Strong clinical acumen, interpersonal communication skills, and comfort working in a dynamic and rapid pace environment
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Proven administrative abilities, with strong computer and software application skills
Requirements
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Full-time job with a minimum of forty hours per week
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Shift days and times may vary due to business need
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All staff schedules include rotating shifts, weekends, and holiday time
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If working at home, internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload
Benefits
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Comprehensive range of benefits, focusing on supporting your whole health
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Health-related benefits including medical, vision, dental, and well-being and behavioral health programs
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401(k) and company paid life insurance
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Tuition reimbursement
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A minimum of 18 days of paid time off per year
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Paid holidays and leaves of absence