BH Care Manager I - UM, Crisis Line
About the position
- Responsibilities
- Manage psychiatric and substance abuse health benefits through telephonic or written review.
- Provide clinical crisis support for the 24/7/365 Behavioral Health Crisis Line.
- Assess member needs using appropriate screening criteria and clinical judgment.
- Ensure access to medically necessary quality behavioral healthcare in accordance with UM Clinical Guidelines.
- Refer cases to Peer Reviewers as appropriate.
- Perform psychiatric and substance abuse disorder assessment, coordination, implementation, case planning, monitoring, and evaluating.
- Promote quality member outcomes to optimize member health benefits.
- Requirements
- 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 treatment.
- Current, active, unrestricted license (LCMHC, LCSW, RN, LMFT, or Clinical Psychologist) to practice as a health professional in North Carolina.
- Previous experience in case management/utilization management with complex psychiatric/substance abuse cases preferred.
- Experience with crisis support for individuals impacted by mental health or substance abuse crises.
- Nice-to-haves
- Bilingual in English and Spanish.
- Previous utilization management experience highly desired.
- Experience with taking crisis line calls strongly preferred.
- Applied Behavioral Analysis (ABA) Services (BCBA).
- Benefits
- Merit increases
- Paid holidays
- Paid Time Off
- Incentive bonus programs
- Medical benefits
- Dental benefits
- Vision benefits
- Short and long term disability benefits
- 401(k) with matching
- Stock purchase plan
- Life insurance
- Wellness programs
- Financial education resources
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