Senior Manager managing data, reporting, and analytical tools for Pfizer's Commercial Portfolio Management. Leading project management and operational effectiveness initiatives across various departments.
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
Job type
Experience level
Salary
Degree requirement
No Education Requirement
Location requirements
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