Behavioral Health Care Manager I

Responsibilities Responsible for managing adult and pediatric inpatient and outpatient psychiatric and substance abuse diagnosis. Manages substance abuse disorder facility-based and outpatient professional treatment health benefits through telephonic or written review. Performs duties telephonically such as inpatient admission in hospitals for discharge planning and step-down needs. Responsible for communication with direct outreach to providers and members. 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, such as RN, LCSW, LMSW, LMHC, LPC, LBA (as allowed by applicable state laws), LMFT or Clinical Psychologist. For states that do not require licensure, a Board Certified Behavioral Analyst (BCBA) is also acceptable if all of the following criteria are met: performs UM approvals only, reviews requests for Applied Behavioral Analysis (ABA) services only, and there is licensed staff supervision. RN LCSW LMSW LMHC LPC LBA LMFT Clinical Psychologist Board Certified Behavioral Analyst (BCBA) Hard Skills substance abuse diagnosis discharge planning inpatient admission outpatient treatment telephonic review professional treatment management behavioral health assessment Applied Behavioral Analysis (ABA) services Soft Skills communication outreach interpersonal skills organizational skills #J-18808-Ljbffr Jobtailor