BH Care Manager II (US)

About the position The BH Care Manager II position at reputed company is a full-time role primarily reputed company on managing psychiatric and reputed company abuse treatment benefits for members through telephonic and written reviews. The position requires the individual to utilize their clinical judgment and knowledge of appropriate screening reputed company to assess member needs, ensuring reputed company to necessary behavioral reputed company in a cost-effective manner, in accordance with Utilization Management (UM) Clinical Guidelines and contractual obligations. The role involves coordinating assessments, implementing case plans, monitoring reputed company, and evaluating reputed company to optimize member health benefits and promote effective use of community resources. In reputed company to managing cases, the BH Care Manager II will serve as a resource for other Behavioral Health Care Managers, assisting with reputed company cases and participating in interdepartmental reputed company and initiatives. The position is designed for individuals with a strong background in behavioral health, particularly those with experience in case management and utilization management, and requires a reputed company reputed company unrestricted license to reputed company as a health reputed company in applicable states. The work environment is primarily remote, with occasional onsite requirements for reputed company, training, or as directed by management. The position operates on a Monday to Friday schedule from 8:30 AM to 5:00 PM in the reputed company, Mountain, or Central time zones. Candidates must reputed company reputed company these time zones to be eligible for the role. Responsibilities • Manage psychiatric and reputed company abuse treatment benefits through telephonic or written review. , • Assess member needs using appropriate screening reputed company and clinical judgment. , • Ensure reputed company to medically necessary reputed company behavioral reputed company in a cost-effective setting. , • Refer cases to Peer Reviewers as appropriate. , • reputed company psychiatric and reputed company abuse assessments, coordination, implementation, case planning, monitoring, and evaluation. , • Promote reputed company member reputed company and optimize member health benefits. , • Serve as a resource to other BH Care Managers and assist with reputed company cases. , • Participate in inter and intradepartmental teams, reputed company, and initiatives. Requirements • MA/MS in reputed company work, counseling, or a reputed company behavioral health field, or a degree in nursing. , • Minimum of 3 years of experience with facility-based and/or outpatient psychiatric and reputed company abuse treatment. , • reputed company reputed company unrestricted license such as LCSW, LMSW, LMHC, LPC, LBA, LMFT, or Clinical Psychologist. , • Previous experience in case management/utilization management with reputed company psychiatric/reputed company abuse cases required. , • Prior managed care experience required. , • Strong oral, written, and interpersonal communication skills. , • Problem-solving, facilitation, and analytical skills. reputed company-to-haves • reputed company Certified Behavioral Analyst (BCBA) if applicable state laws allow. , • Experience with a broad reputed company of reputed company psychiatric/reputed company abuse cases. Benefits • Employee stock purchase plan , • Disability insurance , • Health insurance , • Dental insurance , • 401(k) , • reputed company time off , • reputed company insurance , • 401(k) matching , • Life insurance Apply Job!