Behavioral Health Care Manager

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.

• 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)

• substance abuse diagnosis
• discharge planning
• inpatient admission
• outpatient treatment
• telephonic review
• professional treatment management
• behavioral health assessment
• Applied Behavioral Analysis (ABA) services

• communication
• outreach
• interpersonal skills
• organizational skills