Behavioral Health Care Manager managing facility-based and outpatient psychiatric and substance abuse treatment. Ensuring access to quality behavioral healthcare in accordance with clinical guidelines and contract.
Responsibilities
Manage psychiatric and substance abuse disorder facility-based and outpatient professional treatment health benefits
Assess member needs to ensure access to medically necessary quality behavioral healthcare
Refer cases to Peer Reviewers as appropriate
Perform psychiatric and substance abuse disorder assessment coordination, implementation, case planning, monitoring, and evaluating
Promote quality member outcomes and optimize member health benefits
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 treatment
Current active unrestricted license (e.g., RN, LCSW, LMSW, LMHC, LPC, LBA, LMFT, or Clinical Psychologist)
Board Certified Behavioral Analyst (BCBA) acceptable under certain conditions
Previous experience in case management/utilization management with complex psychiatric/substance abuse cases preferred
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