Job ID: RMP-1031416Description:We are the Health Care Management division of HCSC – a team of dedicated nurses, doctors and other clinicians. Everything we do, and every decision we make, aims to help our members live their most healthy lives. We treat the whole person with integrated pharmacy, physical and mental health care benefits.We’re also tackling the social determinants of health by creating non-clinical partnerships in the communities where we work and live, because everyone should have access to quality health care. We use innovative tools and approaches to help members get the most out of their plan benefits, as affordably as possible. We are more than a health care insurer and we are truly anchored in our purpose: to do everything in our power to stand by our members in sickness and in health.BASIC FUNCTION:This position is responsible for supervising staff involved in behavioral health case management activities and support for case management programs, assisting in developing and implementing behavioral health care policies and procedures related to Case Management, and monitor and assist department in achieving goals.JOB REQUIREMENTS:* Registered Nurse or Masters-level Behavioral Health Professional with current, valid license in good standings (independent practice license if BH Professional) in the State of New Mexico.* 2 years experience with direct clinical care to the consumer.* 3 years experience working with member behavioral health cases in a clinical and/or managed care settings.* Knowledge of medical terminology and procedures.* Knowledge of behavioral health care products and programs.* Knowledge of accrediting agency standards and regulations.* Project management skills.* Leadership skills.* Verbal and written communications skills; interpersonal and organizational skills.* PC proficiency and database experience.* Note: must obtain Case Management Certification within four (4) years.PREFERRED JOB REQUIREMENTS:* Case Management Certification (CCM).HCSC is committed to diversity in the workplace and to providing equal opportunity and affirmative action to employees and applicants. We are an Equal Opportunity Employment / Affirmative Action employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Drug screening and background investigation are required, as allowed by law. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.Requirements: Expertise Behavioral Health Job Type Full-Time Regular Location NM – Albuquerque
Associated topics: business development, case manager, development manager, liaison, manage, plan, program development, program management, project management, resource development

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