Senior State Manager developing market strategies for Bacardi's vision in California. Leading sales teams to drive results through distributor management and strategic partnerships.
About the role
- Managing behavioral health care for psychiatric and substance abuse treatment through telephonic or written review. Ensuring access to quality care in California with a focus on member outcomes.
Responsibilities
- managing psychiatric and substance abuse or substance abuse disorder facility-based and outpatient professional treatment health benefits through telephonic or written review
- using appropriate screening criteria knowledge and clinical judgment to assess member needs
- ensuring access to medically necessary quality behavioral healthcare in a cost-effective setting
- referring cases to Peer Reviewers as appropriate
- performing psychiatric and substance abuse or substance abuse disorder assessment coordination implementation case planning monitoring and evaluating to promote quality member outcomes
Requirements
- MA/MS in social work counseling or a related behavioral health field or a degree in nursing
- minimum of 3 years of experience with facility-based and/or outpatient psychiatric and substance abuse or substance abuse disorder treatment
- current active unrestricted California license, such as RN LCSW LMHC LPC LMFT or Clinical Psychologist
- previous experience in case management/utilization management preferred
- strong oral, written and interpersonal communication skills
- problem-solving skills
- facilitation skills
- analytical skills
- crisis call center experience preferred
- UM experience strongly preferred
- Managed Care experience preferred
Benefits
- health insurance
- 401(k) contribution
- paid time off
- flexible work arrangements
- incentive and recognition programs
- wellness programs
- financial education resources
Job title
Job type
Experience level
Salary
Degree requirement
No Education Requirement
Location requirements
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