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
Apply Now
Apply Now
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
Apply Now
Apply Now