Hybrid Behavioral Health Care Manager I, Utilization Management

Posted 4 days ago

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About the role

  • Behavioral Health Care Manager I managing treatment and resources for psychiatric and substance abuse disorders. Responsible for ensuring quality access to behavioral healthcare through various assessment and coordination methods.

Responsibilities

  • Responsible for 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 to optimize member health benefits

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 California license to practice as a health professional within the scope of licensure in California required
  • Previous experience in case management/utilization management with a broad range of experience with complex psychiatric/substance abuse cases preferred

Benefits

  • Health insurance
  • Retirement plans
  • Paid time off
  • Flexible work arrangements
  • Professional development opportunities
  • Bonuses
  • Stock options
  • Wellness programs
  • 401(k) + match
  • Life insurance

Job title

Behavioral Health Care Manager I, Utilization Management

Job type

Experience level

Mid levelSenior

Salary

$62,640 - $112,752 per year

Degree requirement

No Education Requirement

Location requirements

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