Behavioral Health Care Manager I managing psychiatric and substance abuse treatment health benefits. Working virtually full-time with routine training sessions and clinical assessments.
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 to ensure access to medically necessary quality behavioral healthcare
Refers cases to Peer Reviewers as appropriate
Performs 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 license, such as RN, LCSW, 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 required
Previous experience in case management/utilization management with a broad range of experience with complex psychiatric/substance abuse cases preferred.
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