Behavioral Health Clinical Care Manager - REMOTE
Company: MHN
Location: Ladonia
Posted on: March 19, 2023
|
|
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.
100% Remote Work flexibility to work remote from home in Texas or
California
Monday - Friday: 10:30 am - 7 pm (CST)/ 8:30 am - 5 pm (PST)
Requirement: Must have an active and current unrestricted license:
LCSW, LPC, LMFT, LPCC, or be a licensed PhD for the state of
Texas.
As a Behavioral Health Clinical Care Manager (STAFF Level), you
will:
Handle inbound and outbound member and provider calls on a clinical
phone queue. Ensure members receive behavioral health services
appropriate to clinical need. Triage crisis calls to assist with
stabilization and access to emergency evaluation. Coordinate
services with other departments, such as medical case/care
management. Perform utilization management functions, including
authorization determinations and care shaping.
Handle member calls, performing activities such as telephonic
clinical assessment, determining appropriate level of care and
services and answering benefit questions.
Perform utilization review functions with behavioral health
providers, including care shaping and authorization
determinations.
Responsible for utilization management activities with providers
and/or member calls, depending on team.
Triage crisis calls, providing in-the-moment support and assisting
with access to emergency services.
Use established protocols, as well as clinical judgment, to
evaluate and problem solve during interactions with members and
providers.
Document all calls and activities within a data management system
and access multiple databases for benefit and workflow
information.
Enhance clinical knowledge and skills by actively participating in
all assigned training and staff meetings
Education/Experience: Master's degree in behavioral health and 3+
years of behavioral health experience (at least 2 years must be
post-Master's degree). Prior managed care experience preferred.
Prior experience with multiple system applications and electronic
data entry, including call center and/or health care databases
preferred.
License/Certification: Must have an unrestricted license for
TEXAS
Licensed Clinical Social Worker (LCSW), Licensed Professional
Counselor (LPC), Licensed Professional Clinical Counselor (LPCC),
Licensed Marriage and Family Therapist (LMFT) or Licensed
Psychologist (PhD).
LPC - Associate and LMSW are not eligible.
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: MHN, Allen , Behavioral Health Clinical Care Manager - REMOTE, Executive , Ladonia, Texas
Click
here to apply!
|