Behavioral Health Care Manager II managing psychiatric and substance abuse treatment for commercial employer population. Requires MA/MS and clinical licensure in California for in-person and remote responsibilities.
Responsibilities
Manage psychiatric and substance abuse disorder treatment health benefits through telephonic or written review
Assess member needs to ensure access to medically necessary quality behavioral healthcare
Refer cases to Peer Reviewers as appropriate
Perform psychiatric and substance abuse assessment coordination and case planning
Serve as a resource to other BH Care Managers
Assist with complex cases and participate in inter-and intradepartmental teams
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 disorder treatment
Current active unrestricted license in California (e.g. RN, LCSW, LMHC, LPC, LMFT or Clinical Psychologist)
Previous experience in case management/utilization management with complex psychiatric/substance abuse cases required
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