Job Summary
A health insurance company needs applicants for an opening for a Remote Behavioral Health Care Manager I.
Core Responsibilities Include:
- Managing psychiatric and substance abuse or substance abuse disorder facility-based and outpatient professional treatment health benefits through telephonic or written review
- Using appropriate screening criteria knowledge and clinical judgment to assess member needs to ensure access to medically necessary quality behavioral healthcare
- Refering cases to Peer Reviewers as appropriate
Applicants must meet the following qualifications:
- MS or MA in social work counseling or a related behavioral health field or a degree in nursing
- 3 years of experience with facility-based and/or outpatient psychiatric and substance abuse or substance abuse disorder treatment
- Current active unrestricted license as an RN, LCSW, LMHC, LMFT or Clinical Psychologist to practice as a health professional within the scope of licensure in the state of Indiana
- Must reside in Indiana
- Must have experience working with MS Word, Outlook and Excel, SharePoint