Behavioral Health Care Manager
Company: Arizona Complete Health
Location: Phoenix
Posted on: May 28, 2023
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Job Description:
You could be the one who changes everything for our 26 million
members as a clinical professional on our Medical Management/Health
Services team. Centene is a diversified, national organization
offering competitive benefits including a fresh perspective on
workplace flexibility.
REMOTE - AZ
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 necessity
Monitor quality of care and collect and analyze utilization
data
Serve as a resource and liaison between the health plan, behavioral
providers, facilities, member and families
Provide and/or review member intakes and initial evaluations
Comply with performance measures in regards to denials, higher
level of care admission certifications and concurrent review
timeliness
Develop and maintain collaborative relationships with providers and
educate on levels of care
Interact with physicians, social workers, providers, case managers,
and family members to develop discharge plans and oversee their
implementation
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.
Our Comprehensive Benefits Package: Flexible work solutions
including remote options, hybrid work schedules and dress
flexibility, Competitive pay, Paid time off including holidays,
Health insurance coverage for you and your dependents, 401(k) and
stock purchase plans, Tuition reimbursement and best-in-class
training and development.
Centene 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: Arizona Complete Health, Phoenix , Behavioral Health Care Manager, Executive , Phoenix, Arizona
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