Behavioral Health Program Manager - Minneapolis
- - Clinical
- Minneapolis, MN, USA
- Full Time
Bind is a health technology and services company founded in 2016 and headquartered in Minneapolis, MN with satellite offices in New York and San Francisco. Bind is health insurance for the way we live now. Unlike traditional health insurance that charges you for services you may never need or want, Bind is on demand: pay for what you need, not what you don't, and adjust your coverage when those needs change. Health coverage that's flexible, clear, and intuitive.
We are creative, collaborative, and a little bit fiery. The Bind team is comprised of like-minded individuals passionate about healthcare, and our cause is the collective act of rewiring it. We embrace new ideas. We're more wheel than cog. More spark than smoke. And we are playful and venturesome in our daily mission to render real and refreshing solutions to health insurance that works better for us all.
Behavioral Health Program Manager – Minneapolis
Our newly created Behavioral Health Program Manager will focus on helping Bind members find the help they need in a delivery system that can be difficult to navigate... especially in times of crisis or when members are particularly vulnerable. This member-facing role will report to the Clinical Program Manager. This role will also partner with our Bind Help, Member Experience, Clinical, Claim Operations, Networks and Plan Design teams and vendors by providing feedback that will improve the member's experience and health.
• Provide case management for members with behavioral and mental health needs including:
o Clinical assessments to determine if case management support is needed
o Care plan creation in collaboration with member, caregiver, physician and/or other appropriate healthcare professionals to address the member needs and goals
o Referral to relevant Bind condition focused programs when appropriate
o Monitor goal achievement and intervention effectiveness and suggest change accordingly
o Use motivational interviewing and MCG clinical guidelines to educate, support and motivate change during member contact
o Provide member follow-up as determined by member needs
• Use a deep understanding of employer's behavioral and mental health benefits, Bind's network and the member's needs to guide members to in network and covered services at the appropriate level of care.
• Problem solve with members any access to care issues and facilitate timely authorizations.
• Collaborate with RN case managers, Bind Help (member services) and Utilization Management teams as needed to resolve member issues and escalate time sensitive cases where barriers need to be removed.
• Support transgender members by providing advocacy, education and access to services that will enhance their physical and psychological well-being and facilitate patient self-care.
• Behavioral Health Program Manager will:
o Demonstrate sensitivity to diverse populations, a sense of urgency in resolving member issues, detail orientation, and persistence in obtaining answers.
o Stay up-to-date with the rapidly evolving transgender/gender dysphoria care landscape, drawing on diverse professional and community resources.
o Ensure processes/forms communications are inclusive of the whole spectrum of trans, gender-expansive, gender-questioning, and queer members.
• Case managers in Behavioral Health may provide consultation and recommendations to peers including Member Experience, Networks, Plan Design, Claim Operations, and Bind Help.
• Provides feedback to Networks to identify opportunities to close gaps in services for targeted members.
• Must have an active, unrestricted state of Minnesota professional license in at least one of the following:
o Licensed Professional Clinical Counselor (LPCC)
o LADC (Licensed Alcohol and Drug Counselor)
o Licensed Independent Clinical Social Worker (LICSW)
o Certified Case Manager (CCM) with 3+ years of case management experience post-licensure in a related mental health field
o Registered Nurse (RN) with 3+ years of case management experience post-licensure in a related mental health field
• Dual diagnosis experience with mental health and substance abuse
• Familiarity with LGBT culture and communities
• Experience working in an environment that required coordination of benefits and utilization of multiple groups and resources for patients
• Strong knowledge of shared decision-making concepts, motivational interviewing techniques and case management programs.
• Strong personal drive to continually re-invent and evolve the current state of operations
• Excellent problem-solving skills and a process improvement orientation
• Communicates professionally, appropriately and clearly both verbally and in writing. Shares information and ideas with others and collaborates well with partners.
• Makes decisions and uses sound judgment consistent with company values and policies and communicates them timely.
Bind is committed to providing equal employment opportunities. All qualified applicants and employees will be considered for employment and advancement without regard to race, color, religion, national origin, sex, disability, age, marital status, sexual orientation, veteran status, genetic information, or any other status protected by applicable law.