Behavioral Health Caseworker

RPMGlobal; Orangeburg (SC); Remote; USD 40,000 - 80,000; Full time

Job summary

An established industry player in healthcare is seeking a passionate Field-Based Remote Behavioral Health Case Worker to join their dynamic team. This role involves managing care for Members with complex behavioral health needs, ensuring they receive the support and resources necessary for their well-being. You'll work closely with a diverse range of professionals, fostering collaboration and promoting health management. With a commitment to building healthier communities, this opportunity offers a chance to make a real difference in people's lives while enjoying competitive pay and comprehensive benefits from day one.

Benefits

Health Insurance from Day 1

Paid Time Off

401(k)

Tuition Reimbursement

Qualifications

• 2+ years of experience with Serious Mental Illness (SMI) cases.
• Strong documentation skills and experience in care planning.

Responsibilities

• Manage and coordinate care for Members with behavioral health conditions.
• Support Members during care transitions and monitor progress.

Skills

Behavioral Health Management

Care Coordination

Documentation Skills

Communication Skills

Assessment Skills

Education

Bachelor’s degree in Human Services

Master’s degree in related field

Tools

MS Office

Electronic Medical Records (e.g., Jiva)

Job description

This role is field-based remote and will require travel within the Orangeburg area to service our members. Candidates must live in or very near Orangeburg, SC to qualify.

Join us in making a difference in healthcare. We are seeking talented, passionate individuals to be part of our team at AmeriHealth Caritas, a leader in health care solutions committed to building healthier communities.

Headquartered in Newtown Square, AmeriHealth Caritas has over 30 years of experience delivering comprehensive, outcomes-driven care, including managed care products, pharmacy services, behavioral health, and administrative services.

Discover more about us at www.amerihealthcaritas.com.

Responsibilities:

The Field-Based Remote Behavioral Health Case Worker manages and coordinates care for Members with behavioral health conditions and complex needs. Serves as the primary contact for the care team, including Members, physicians, and community supports, to promote health and self-management. Responsibilities include:

• Supporting Members during care transitions through assessment, coordination, education, referrals, and evaluating care plans.
• Reviewing medication lists and coordinating pharmacy needs with community pharmacists.
• Monitoring and updating care plans based on Member progress and needs.
• Establishing contacts with community, medical, and behavioral health teams for collaboration.
• Documenting Member interactions accurately in electronic care management platforms.
• Monitoring utilization, coordinating services, making referrals, and escalating quality issues.
• Gaining knowledge of care management platforms, policies, procedures, Member benefits, and regulatory requirements.
• Participating in care management rounds and following up with providers.
• Fostering a positive, collaborative, and culturally competent work environment.
• Conducting face-to-face visits at Members’ homes, providers’ offices, hospitals, or community locations.
• Performing other duties as assigned.

Education/Experience:

• Must be a resident of or near Orangeburg County, SC.
• Bachelor’s degree in Human Services or related field required; Master’s preferred.
• At least 2 years of experience working with individuals with Serious Mental Illness (SMI), including conditions like Psychotic Disorders, Bipolar Disorder, or Major Depression.
• 2 years of social services experience engaging with clients, assessing needs, and monitoring progress.
• Proficiency in MS Office, internet applications, and electronic medical records (e.g., Jiva).
• Ability to manage a caseload of up to 60 members and support care transitions.
• Strong documentation skills and experience in care planning and health education.

Must be willing to travel within the region, access members’ homes and community locations, and possess reliable transportation, a valid driver’s license, and auto insurance.

Diversity, Equity, and Inclusion

We value and support a diverse, inclusive workplace where everyone can thrive. Our commitment to equity is reflected in our actions to promote fairness, respect, and inclusiveness for all associates and the communities we serve.

Benefits include competitive pay, paid time off, health insurance from Day 1, 401(k), tuition reimbursement, and more.