Behavioral Health Care Manager II – BCBA/LBA, Georgia Licensed
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Job Description
Behavioral Health Care Manager II managing psychiatric and substance abuse treatment benefits through telephonic review. Requires MA/MS or nursing degree and licensure in Georgia for eligibility.
Responsibilities:
- managing psychiatric and substance abuse or substance abuse disorder facility-based and outpatient professional treatment health benefits through telephonic or written review
- Uses appropriate screening criteria knowledge and clinical judgment to assess member needs to ensure access to medically necessary quality behavioral healthcare in a cost effective setting in accordance with UM Clinical Guidelines and contract
- Refers cases to Peer Reviewers as appropriate
- Performs psychiatric and substance abuse or substance abuse disorder assessment coordination implementation case planning monitoring and evaluating to promote quality member outcomes to optimize member health benefits and to promote effective use of health benefits and community resources
- Assists with more complex cases and may participate in inter and intradepartmental teams projects and initiatives
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
- Licensure is a requirement for this position
- Previous experience in case management/utilization management required
- Prior managed care experience required
Benefits:
- merit increases
- paid holidays
- Paid Time Off
- incentive bonus programs
- medical
- dental
- vision
- short and long term disability benefits
- 401(k) + match
- stock purchase plan
- life insurance
- wellness programs
- financial education resources
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