Behavioral Health Care Manager I (3rd Shift -After Hours)- Bilingual

Description: • Manage psychiatric and substance abuse treatment health benefits through telephonic or written review • Assess member needs using screening criteria and clinical judgment to ensure access to medically necessary quality behavioral healthcare in a cost-effective setting per UM guidelines • Refer cases to Peer Reviewers as appropriate • Perform psychiatric and substance abuse assessment, coordination, implementation, case planning, monitoring and evaluating to promote quality member outcomes and optimize benefits and community resources Requirements: • MA/MS in social work, counseling or related behavioral health field or nursing degree, and at least 3 years of facility-based and/or outpatient psychiatric and substance abuse treatment experience • Current active unrestricted license (LCSW, LMSW, LMHC, LPC, LMFT or Clinical Psychologist) to practice as a health professional within the scope of licensure in applicable states or territory of the United States required • Licensure is a requirement for this position. However, for states that do not require licensure a Board Certified Behavioral Analyst (BCBA) is also acceptable if all of the following criteria are met: performs UM approvals only, reviews requests for Applied Behavioral Analysis (ABA) services only, and there is licensed staff supervision • Bilingual in Spanish is highly preferred • Utilization Management experience is preferred • Previous crisis hotline is preferred • URAC accredited areas: strong oral, written and interpersonal communication skills, problem-solving, facilitation, and analytical skills Benefits: • Merit increases • Paid holidays • Paid Time Off • Incentive bonus programs • Medical • Dental • Vision • Short and long term disability benefits • 401(k) +match • Stock purchase plan • Life insurance • Wellness programs • Financial education resources Apply tot his job Apply To this Job