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
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