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| About Our
Company
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| Highmark Inc.
is among the nation's leading health insurers and is the
largest health insurance company in Pennsylvania based
on membership. An independent licensee of the Blue Cross
and Blue Shield Association, Highmark is driven by a
more than 70-year mission to provide access to
affordable, quality health care enabling individuals to
live longer healthier lives. Recognized as one of the
100 Best Places to Work in Pennsylvania for 2009,
Highmark Inc. is an equal opportunity employer who
strives to capitalize on the strengths of individual
differences and the advantages of an inclusive
workplace. Qualified applicants will receive
consideration for employment without regard to race,
color, ethnicity, age, sex, marital status, religion,
creed, national origin, disability, veteran's status,
sexual orientation or any other category protected by
applicable federal, state or local laws.
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| Job
Responsibilities Summary
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| The role of
the Behavioral Health Case Manager is to service clients
through telephonic contact by assessing, planning,
implementing, coordinating, monitoring, evaluating, and
advocating for the member. The Behavioral Health Case
Manager is expected to utilize specialized skills and
knowledge to achieve a high level of member engagement
in Behavioral Health case management and promote member
autonomy. The Behavioral Health Case Manager is
expected to proactively facilitate the member's
treatment during illness, health and wellness through
the implementation of skills including, but not limited
to: positive relationships with members/providers,
effective planning and organization, the ability to
critically analyze health/illness data and information,
and the effective application of disease/critical
pathway guidelines.
The Behavioral Health Case Manager is also expected to:
Interject objectivity and information where it may be
lacking.
Maximize efficiency in utilization of available
resources and promote optimal allocation of health care
dollars.
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| Required
Qualifications
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| PA RN, LSW,
Licensed Psychologist, or LPC
Three years of clinical practice experience.
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| Preferred
Qualifications
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| Three years
of experience is preferred in Utilization
Management/QA/Managed Care
If licensed RN, a BSN is preferred
If MSW, LCSW is
preferred
Evidence of excellent negotiating skills.
Certification in Case Management (CCM)
Knowledgeable of disease management/critical pathways
implementation.
Evidence of ability to analyze outcomes and develop goal
oriented action plans.
Must be able to handle multiple priorities in a
professional manner
Analytical and decision making skills required.
Public speaking and education experience.
PC proficiency
Evidence of excellent
written and verbal communication skills.
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