Behavioral Health Care Manager II ensuring access to quality behavioral healthcare and managing treatment benefits. Collaborating with other care managers and participating in team projects.
Responsibilities
Managing psychiatric and substance abuse treatment benefits through telephonic or written review
Assessing member needs to ensure access to medically necessary quality behavioral healthcare
Referring cases to Peer Reviewers as appropriate
Performing psychiatric and substance abuse assessments, case planning, monitoring, and evaluating
Serving as a resource to other BH Care Managers
Assisting with complex cases and participating in inter and intradepartmental teams, projects, and initiatives
Requirements
Requires MA/MS in social work, counseling, or 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 treatment
Current active unrestricted license such as RN, LCSW, LMSW, LMHC, LPC, LBA, or Clinical Psychologist
For states that do not require licensure, a Board Certified Behavioral Analyst (BCBA) is acceptable
Previous experience in case management/utilization management with complex psychiatric/substance abuse cases required
Prior managed care experience required
Strong oral, written, and interpersonal communication skills
Strong problem-solving, facilitation, and analytical skills
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