Behavioral Health Care Manager assessing psychiatric and substance abuse treatment benefits. Requires MA/MS or nursing degree with 3 years of experience and licensure within the United States.
Responsibilities
Managing psychiatric and substance abuse or substance abuse disorder facility-based and outpatient professional treatment health benefits through telephonic or written review
Uses appropriate screening criteria knowledge and clinical judgment to assess member needs
Refers cases to Peer Reviewers as appropriate
Performs psychiatric and substance abuse or substance abuse disorder assessment coordination implementation case planning monitoring and evaluation to promote quality member outcomes
Requirements
Requires 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 license such as RN, LCSW, LMSW, LMHC, LPC, LBA (as allowed by applicable state laws), LMFT or Clinical Psychologist to practice as a health professional within the scope of licensure in applicable states or territory of the United States
Licensure is a requirement for this position
For states that do not require licensure a Board Certified Behavioral Analyst (BCBA) is also acceptable if certain criteria are met
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