Managed Care Provider Relations Manager jobs in Altus, OK

Summary

The primary responsibility of the Care Manager is to ensure implementation of a comprehensive care plan, which will include mental, physical and other health goals, and other life domain goals to achieve a clinical outcome consistent with the needs and preferences of the client.  Care Managers interact regularly with other staff, including the Health Team, and treatment providers to assess and treat individuals with mental, emotional, or substance abuse problems.  Activities may include crisis intervention, case management, treatment planning, client advocacy, prevention and education.  The Care Manager may provide ongoing service coordination and link members to available resources.

Essential Functions

• Provides practical help and support, advocacy, coordination, side-by-side individualized support, problem solving, direct assistance, training, and supervision to help consumers obtain the necessities of daily living including medical and dental health care; legal and advocacy services; financial support such as entitlements (e.g., adult foster care, paid roommates, meals brought in for those who need it); money-management services (e.g., payeeships); and transportation
• Participates in disposition/treatment team meetings, providing the information is pertinent to the treatment of the consumer 
• Assists in developing, writing, implementing, evaluating, and revising overall Service Plan goals and objectives
• Coordinates approved services, facilitates communication between various service providers with DHS or other referral sources; advocates on behalf of each consumer to ensure that treatment and reintegration plans are being followed, and assists the consumer, family, and referral source in arranging follow up support services
• Educates and supports consumers’ families
• Assists each consumer in having Primary Care services and supports consumers to have and effectively use a personal physician and dentist. Assists consumers in learning self-management skills for their physical health concerns. Addresses and reminds consumers of preventive care as recommended by their physician
• Maintains core competencies in relation to working with co-occurring disorders through continuing education and implementing skills into all aspects of treatment
• Provides and completes all paper work assignments and prior authorizations, including but not limited to Service plans, Consumer Assessment Records and daily progress notes within designated time frame
• Documents consumer progress to maintain a permanent record of consumer activity according to established methods and procedures
• Provides ongoing assessment of consumers’ mental illness symptoms and consumers’ response to treatment.  Makes appropriate changes in treatment plans to ensure immediate and appropriate interventions are provided in response to changes in mental status or behavior which puts consumers at risk (e.g., suicidality)
• Demonstrates knowledge of requirements and compliance with Medicaid, Oklahoma Department of Mental Health and Substance Abuse Services (ODMHSAS), Commission on Accreditation of Rehabilitation Facilities (CARF) and any other funding/contract source
• Demonstrates confidentiality and informs consumers of rights and obtains necessary authorization for obtaining and releasing information
• Assures coverage when co-workers are absent by filling in as needed
• Provides direct clinical services to consumers on an individual, group, and family basis in the office and in community settings to teach behavioral symptom-management techniques to alleviate and manage symptoms not reduced by medication and to promote person growth and development by assisting consumers to adapt to and cope with internal and external stresses.
• Coordinates with outside inpatient services to detoxify consumers and establish linkage to self-help programs (e.g., Alcoholics Anonymous, Narcotics Anonymous) and residential facilities
• Builds rapport and working partnerships with relevant local, state, and federal government agencies
• Promotes community education projects to help increase awareness of Post-Traumatic Stress Disorder (PTSD) & Acute Mental Health Crises
• Supports and assists with the facilitation of Care Plans for consumers within the Red Rock Health Team
• Performs other duties as assigned 

Qualifications

• Certified as a Behavioral Health Care Manager II (BHCMII)
  Or
• Have a Bachelor’s or Master’s degree in Education or a behavioral health related field earned from a regionally accredited college or university
• Be at least 21 years of age
• Complete all required training
• Two or more years working with community services, health agencies as well as low income and minority consumers with an understanding of cultural diversity a plus 

Benefits (Full-Time Staff Only)

• 95% Employer Paid Health Insurance Plan
• Dental Insurance
• Vision Insurance
• Some Positions Qualify for NHSC Student Loan Repayment
• 403B Retirement Plan with 5% Employer Contribution
• Annual Professional Growth Funds
• 3 Weeks Paid Time-off 
• Employer Paid Life Insurance and Long Term Disability

All Red Rock BHS employees are required to be fully vaccinated, as per Centers of Medicare and Medicaid Services Standards, unless otherwise exempt.

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

Red Rock Behavioral Health Services does not discriminate based on race, color, national origin, religion, gender, gender identity, age, marital/familial status, sexual orientation, or disability.