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Job description
Behavioral Health Care Managers work with complex and high-risk needs with a goal of engaging the member in the treatment process, decreasing their reliance on higher levels of care, helping them access appropriate community services, and improving their community tenure. You will coordinate and collaborate with their families and care teams to help our members live their lives to the fullest.
This fully remote position requires permanent residency and independent clinical licensure in Arizona.
Primary Responsibilities:
Engage members that may be transitioning through various levels of behavioral health care
Complete member assessments and educate on resources and services available to members
Coordinate and collaborate with providers and treatment teams
Strategize and solution for any barriers preventing care or delaying services
Identify ways to add value to treatment plans and consult with facility staff or outpatient care providers on those ideas
Work from an Integrated Care Management Model to ensure high-risk members receive evidenced-based care and medically necessary services
Join weekly Interdisciplinary Team Rounds to collaborate with cross-functional teams on high-risk members
Required Qualifications:
Master's Degree in Psychology, Social Work, Counseling, or Marriage and Family Therapy; or Doctorate-degreed Psychologist
Active, unrestricted Arizona license as an LCSW, LMFT, LPC or LP
2+ years of experience in a related mental health environment
1+ years of experience working with local and state community resources in Arizona
Preferred Qualifications:
Experience with community behavioral health agencies and/or inpatient facilities
Dual diagnosis experience with mental health and substance abuse
Experience working at a managed care organization (MCO) or health insurance company
Experience working in an environment that required coordination of benefits and utilization of multiple groups and resources for patients
Demonstrated knowledge of insurance benefits, including Medicaid and Medicare
Demonstrated knowledge of Arizona Health Care Cost Containment System (AHCCCS)
Demonstrated knowledge of Arizona's Division of Developmental Disabilities (DDD)
Worksite address
tucson, AZ, 85718, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.