About this role

Managing psychiatric and substance abuse treatment health benefits through telephonic or written review
Uses appropriate screening criteria knowledge and clinical judgment to assess member needs
Refers cases to Peer Reviewers as appropriate
Performs psychiatric and substance abuse assessment coordination
Implementation case planning monitoring and evaluating to promote quality member outcomes

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 (LCSW, LMSW, LMHC, LPC, LMFT, RN, or Clinical Psychologist)
Proficient in Microsoft Office Suite (including Word and Outlook)
Ability to quickly learn and adapt to new technologies
Strong oral, written, and interpersonal communication skills
Problem-solving skills
Facilitation skills
Analytical skills

Behavioral Health Care Manager I – UM/UR

Key skills