Behavioral Care Mgr

Company: Centene Corporation
Location: Tempe
Posted on: August 3, 2022

Job Description:

Position Purpose: Authorize and/or review utilization of mental health and substance abuse services provided in inpatient and intermediate care settings. Assure appropriate levels of care and medical necessity in a manner that supports the recovery process Identify placement settings that offer the lowest level of restriction and greatest level of autonomy for the members based upon medical necessityMonitor quality of care and collect and analyze utilization dataServe as a resource and liaison between the health plan, behavioral providers, facilities, member and familieProvide and/or review member intakes and initial evaluationComply with performance measures in regards to denials, higher level of care admission certifications and concurrent review timelineDevelop and maintain collaborative relationships with providers and educate on levels of careInteract with physicians, social workers, providers, case managers, and family members to develop discharge plans and oversee their implementationQualifications:Education/Experience: Bachelor's degree in related field or equivalent experience. Master's degree preferred. 3+ years of utilization management or clinical supervision experience in a behavioral health setting. Proficient in Microsoft Applications. Previous experience documenting in Case Management or Utilization Management systems. Licenses/Certifications: Must have a license to practice independently, and/or have obtained the state required licensure as outlined by the specific state. This includes but is not limited to licenses such as LPC, LCSW, LMFT, LMHC, LIMHP, and RN. LCSW, LMFT, LPC, LISAC, or RN licensed in Arizona required. AZ Independent Behavioral Health License required.Federal Services only: Education/Experience: Bachelor's degree in social work, counseling, marriage and family therapy or other related field. 4+ years experience with treating substance abuse disorders, preferably in a community behavioral health setting. Familiarity with, or training with, utilization of ASAM. License / Certifications: ASAM and CA clinical license (Licensed Clinical Social Worker, Licensed Professional Clinical Counselor, Licensed Marriage and Family Therapists (LMFTs)For North Carolina only: Behavioral Health (BH) Managers and Full-Time BH Staff: These individuals shall be responsible for integrating into the clinical and care management teams to ensure Member's behavioral health needs are fully integrated into the service delivery system.---Must reside in North Carolina---Experience working in behavioral health managed care and clinical setting---Licensed behavioral health professional practicing within their scopeCentene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

Keywords: Centene Corporation, Tempe , Behavioral Care Mgr, Other , Tempe, Arizona