The Behavioral Case Manager is responsible for providing comprehensive care coordination and case management services to patients receiving behavioral health services at Health Care Partners of South Carolina. This position supports individuals experiencing mental health and substance use challenges by assessing patient needs, including Social Determinants of Health (SDOH), coordinating services, facilitating appointments, connecting patients with community resources, and promoting treatment adherence. Working collaboratively with behavioral health providers, primary care providers, interdisciplinary care teams, and community partners, the Behavioral Case Manager helps develop individualized care plans, reduce barriers to care, and improve overall health outcomes through integrated, patient-centered care.
- Collaborate with primary care providers, behavioral health clinicians, and interdisciplinary care teams to coordinate patient care.
- Complete behavioral health assessments, safety plans, recovery plans, and other care management documentation as appropriate.
- Maintain regular outreach and follow-up with patients, including those identified as high risk for substance use, suicidality, or self-harm.
- Provide psychoeducation to patients and families regarding behavioral health diagnoses, treatment options, medications, and recovery resources.
- Connect patients with community-based resources and assist with accessing social services, financial assistance, housing, transportation, and other support services as appropriate.
- Coordinate referrals, prior authorizations, and follow-up appointments with internal providers and external community partners.
- Assist patients in identifying goals, developing action plans, and overcoming barriers to treatment and recovery.
- Participate in ongoing communication with case management staff, utilization management staff, health plan partners, and community providers to support coordinated care.
- Maintain accurate, timely documentation within the Electronic Health Record (EHR).
- Assist with the implementation of organizational policies, procedures, and quality improvement initiatives related to case management and behavioral health services.
- Ensure compliance with HIPAA, organizational policies, and applicable state and federal regulations.
- Participate in required trainings, staff meetings, and continuing education activities.
- Perform other duties as assigned.
- Bachelor's degree in Social Work, Psychology, Human Services, Counseling, or a related behavioral health field required. Master's degree preferred.
- Minimum of one (1) year of experience in case management, behavioral health, counseling, healthcare, social services, or a related human services field required.
- Experience working with individuals experiencing mental health and/or substance use disorders preferred.
- Experience working in a Federally Qualified Health Center (FQHC), community mental health setting, integrated primary care setting, or similar healthcare environment preferred.
- Certified Case Manager (CCM) credential is a plus but not required.
- Effective communication and interpersonal skills with the ability to establish trust and rapport with patients from diverse backgrounds.
- Strong empathy, active listening, and patient advocacy skills.
- Knowledge of behavioral health conditions, co-occurring disorders, and substance use disorders.
- Familiarity with community resources, support services, and referral networks available to assist patients with healthcare and social needs.
- Knowledge of Social Determinants of Health (SDOH) and their impact on patient outcomes.
- Strong organizational and time management skills with the ability to prioritize multiple responsibilities in a fast-paced healthcare environment.
- Ability to collaborate effectively with multidisciplinary healthcare teams and community partners.
- Proficiency in Microsoft Office and Electronic Health Record (EHR) systems.
- Knowledge of HIPAA regulations and the ability to maintain the confidentiality, security, and integrity of patient information.
