Behavioral Health Specialist / 815

Job Status: Full Time, Employee Job Category: Medical/Health Career Level: Experienced (Non-Manager) Reference Code: 815 Visit us on the web http://apshealthcare.com/ APS was founded as a behavioral healthcare company and has evolved into a specialty healthcare company that offers customized, integrated healthcare solutions across two major product lines: care management and behavioral healthcare services. The company has capitalized on its experience in behavior change to create physical and mental healthcare programs that are industry renowned. The use of an integrated approach to healthcare for the mind and body has allowed APS to be more effective in improving the quality and effectiveness of care. Today, APS is a pioneer in providing health and disease management services while retaining its position as one of the leading behavioral healthcare organizations in the United States. In fact, APS is the only specialty healthcare company with extensive experience in health management, behavioral healthcare, employee assistance programs (EAP), informatics and quality review/oversight programs. Behavioral Health Specialist / 815 Position Description:DESCRIPTION:The Care Manager is responsible for primary contact and liaison activities with both the qualified Medicaid recipients and community based providers in Nevada. This program engages in a collaborative approach with providers to ensure members are accessing and receiving services in an appropriate and timely manner. This program includes multiple systems of care including: State Mental Health, Child Welfare, Juvenile Justice, Substance Abuse and Educational Systems. • Providing telephonic care coordination of services and reducing any duplication of services by working with providers and case managers for identified programs • Activities include assessment, planning, implementing, coordinating, monitoring and evaluating the services and resources necessary to respond to an individual member’s behavioral health needs• Ensure that member’s are placed and maintained in the safest, lowest level of careCoordinate services to improve access to services and improve cost effectiveness of the delivery of services • Collecting clinical data and entering the information in APS CareConnection® for tracking and metrics reporting purposes• Communicating with providers in the community regarding the member’s treatment needs and developing appropriate care plans for specialized needs of members• Monitoring for quality of care and outcome improvement in accordance with clinical indicators as per contractual obligations• Assisting with Provider Education• Other duties as assigned. EDUCATION REQUIREMENTS: • Registered Nurse – Psych; Licensed Clinical Social Worker; with valid unrestricted license in Nevada. EXPERIENCE: • Minimum of 3 years experience in related public sector medical services including experience with children and adolescents in psychiatric/ residential treatment facilities, experience with quality improvement, medical record reviews, chronic/disease care management and/or primary care case management; • Experience managing members with chronic behavioral issues, goal setting, and providing constructive feedback preferred; • Strong verbal and written communication skills, prior experience in a training or educational capacity strongly desired; • Previous experience in delivering care coordination services to the Medicaid population preferred; • Above average computer/technical skills; • Exceptional communication skills with a customer service focus; and• Ability to resolve problems in a non-threatening manner.