Liderar y gestionar un panel de mediadores asignado en Madrid. Incorporar y reactivar mediadores para el crecimiento del negocio de Particulares, Empresas y Vida.
About the role
- 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
Benefits
- Comprehensive benefits package
- Incentive and recognition programs
- Equity stock purchase
- 401k contribution
- Paid holidays
- Paid Time Off
- Medical, dental, vision benefits
- Short and long term disability benefits
- Wellness programs
- Financial education resources
Job title
Job type
Experience level
Salary
Degree requirement
No Education Requirement
Location requirements
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