Service Designer at Vodafone leading design and delivery of end - to - end experiences for products and services through collaboration with cross - functional teams.
About the role
- Behavioral Health Care Manager managing psychiatric and substance abuse disorder treatment health benefits for Elevance Health. Assessing member needs and ensuring access to necessary quality behavioral healthcare within cost-effective settings.
Responsibilities
- Managing psychiatric and substance abuse disorder facility-based and outpatient professional treatment health 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 disorder assessment coordination, implementation, case planning, monitoring and evaluating to promote quality member outcomes
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 license (RN, LCSW, LMSW, LMHC, LPC, LBA, LMFT, Clinical Psychologist) to practice as a health professional
- Proficient in Microsoft Office Suite (Word and Outlook) preferred
- Previous experience in utilization management with a broad range of experience with complex psychiatric/substance abuse cases preferred
Benefits
- comprehensive benefits package
- incentive and recognition programs
- equity stock purchase
- 401k contribution
- medical benefits
- dental benefits
- vision benefits
- short and long term disability benefits
- paid holidays
- Paid Time Off
- wellness programs
- financial education resources
Job title
Job type
Experience level
Salary
Degree requirement
No Education Requirement
Location requirements
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