Manager in Training at TopBuild focusing on energy - efficient insulation and building material products. Gaining management knowledge and experience through training in various departments.
About the role
- Behavioral Health Care Manager managing psychiatric and substance abuse treatment health benefits for Elevance Health. Ensuring quality care access and referral coordination for members' health benefits.
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 in a cost-effective setting in accordance with UM Clinical Guidelines and contract
- 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
- 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 LCSW, LMSW, LMHC, LPC, LMFT, RN or Clinical Psychologist to practice as a health professional within the scope of licensure from the state of California
- Preferred: Previous experience in utilization management with a broad range of experience with complex psychiatric/substance abuse cases -- facility based
- Proficient in Microsoft Office Suite (including Word and Outlook)
- Ability to quickly learn and adapt to new technologies
- Strong oral, written and interpersonal communication skills
- Strong problem-solving skills
- Strong facilitation skills
- Strong analytical skills
Benefits
- a comprehensive benefits package
- incentive and recognition programs
- equity stock purchase
- 401k contribution
- medical benefits
- dental benefits
- vision benefits
- short and long-term disability benefits
- Paid Time Off
- wellness programs
- financial education resources
Job title
Job type
Experience level
Salary
Degree requirement
No Education Requirement
Location requirements
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