**Experienced Care Manager – Behavioral Health Treatment (BHT) Services – Remote Opportunity at arenaflex**

At arenaflex, we're dedicated to revolutionizing the healthcare industry by delivering exceptional care and services to our members. As a leading organization in the field, we're seeking an experienced and compassionate Care Manager to join our dynamic team. In this vital role, you'll have the opportunity to make a significant impact on the lives of our members, ensuring they receive the highest quality of care based on medical necessity. **Job Overview** Join our esteemed healthcare organization as a Care Manager, where you'll have the chance to work in a mission-focused environment dedicated to excellence in member service and care management. As a Care Manager, you'll oversee and evaluate Behavioral Health Treatment (BHT) services, including Applied Behavior Analysis (ABA) services, for eligible members. Your expertise and dedication will play a crucial role in ensuring our members receive the best possible care, and we're excited to have you on board. **Key Responsibilities** As a Care Manager at arenaflex, you'll be responsible for: * Navigating a mission-focused environment dedicated to excellence in member service and care management, demonstrating integrity and accountability. * Collaborating effectively with team members to fulfill departmental objectives and support both immediate and long-term goals. * Assessing requests for medical appropriateness and verifying referrals according to established clinical guidelines. * Collecting pertinent medical information for review by the Medical Director and communicating decisions clearly. * Accurately documenting all necessary information in the utilization management system, ensuring updates on authorizations are recorded. * Conducting thorough reviews of submitted documentation for compliance with coding (ICD-10, CPT-4, HCPCS) and coverage guidelines. * Maintaining adherence to established policies and procedures while conducting quality reviews of documents. * Promptly notifying providers and members of decisions made, ensuring timely and effective communication. * Staying updated on federal, state, and local regulations pertaining to the BHT benefit. * Identifying potential quality concerns and reporting them as necessary, assisting with case audits when required. * Participating in additional projects and responsibilities as assigned. **Required Skills** To succeed in this role, you'll need to possess: * Strong relationships with colleagues and external partners from diverse backgrounds. * The ability to work autonomously while exercising sound judgment in decision-making. * Effective communication skills in both verbal and written formats. * Adaptability to a flexible work schedule that may include evenings and weekends. * Strong organizational, analytical, problem-solving, and project management skills. * The ability to thrive in a fast-paced work environment while managing multiple tasks simultaneously. * The ability to inspire and motivate team members and external committees. * Proficiency in Microsoft Office Suite (Word, Outlook, Excel, PowerPoint) and related applications. **Qualifications** To be considered for this role, you'll need to have: * A Master's degree in psychology, social work, counseling, or a related field. * A minimum of four years of experience in providing ABA or mental health services, including clinical review and treatment plan oversight. * Current, unrestricted California license (LCSW, LPCC, LMFT, RN with BH experience, BCBA, or BCBA-D). **Career Growth Opportunities** At arenaflex, we value your professional development and offer numerous opportunities for skill enhancement and career advancement within the healthcare sector. Our organization is committed to helping you grow and succeed in your career, and we're excited to have you join our team. **Company Culture and Values** We foster a collaborative environment that emphasizes high-quality performance and member service, nurturing a culture of dignity and respect. Our organization is dedicated to providing a supportive and inclusive work environment that allows our employees to thrive and reach their full potential. **Networking and Professional Opportunities** In this role, you'll have the chance to collaborate with a dedicated team, enhancing your professional network and skillset in the healthcare community. Our organization is committed to providing opportunities for professional growth and development, and we're excited to have you join our team. **Compensation and Benefits** We offer a competitive salary commensurate with experience, as well as a comprehensive benefits package that includes: * Comprehensive health, dental, and vision insurance. * Retirement savings plan with company matching contributions. * Generous vacation and paid time off policies. **Employment Type** This is a full-time remote opportunity, allowing you to work from the comfort of your own home. We're committed to providing a flexible and supportive work environment that allows our employees to thrive and reach their full potential. **How to Apply** If you're a motivated and compassionate individual with a passion for delivering exceptional care and services, we encourage you to apply for this exciting opportunity. Please submit your application, including your resume and a cover letter, to [insert contact information]. We can't wait to hear from you! **Equal Employment Opportunity** arenaflex is an equal employment opportunity employer and welcomes applications from diverse candidates. We're committed to creating a workplace that's inclusive and respectful of all employees, and we're excited to have you join our team. Apply for this job