Platzhalter Bild

Homeoffice Clinical Intake Clinician - Remote bei Professional Management Enterprises

Professional Management Enterprises · Indianapolis, Vereinigte Staaten Von Amerika · Remote

$79,000.00  -  $83,000.00

Jetzt bewerben

Description

 

Behavioral Health Care Manager – Utilization Management

We’re looking for a Behavioral Health Care Manager (UM) who can combine clinical expertise with strong communication skills to connect members with the right level of care. This role is mostly provider-facing, with some member interaction to gather information and guide care decisions.


Hours: M-F 8am-5pm

10 paid holidays

80 hours PTO

Pay: $79,000-$83,000/yr


What You’ll Do:

  • Review and manage behavioral health benefits for psychiatric and substance use treatment (inpatient, outpatient, and facility-based) through phone and written reviews.
     
  • Use screening criteria, clinical judgment, and UM guidelines to ensure members get medically necessary, cost-effective care.
     
  • Refer cases to Peer Reviewers when needed.
     
  • Coordinate and monitor care plans to promote quality outcomes and effective use of benefits and community resources.
     
  • Support other BH Care Managers and handle complex cases.
     
  • Contribute to team projects and department initiatives.
     

What You’ll Bring:

  • Strong clinical knowledge in behavioral health.
     
  • Ability to assess needs, plan care, and collaborate with providers.
     
  • Commitment to quality care and cost-effective solutions.
     


Requirements

 

What You’ll Need

  • Master’s degree in social work, counseling, or a related behavioral health field or a degree in nursing.
     
  • At least 3 years of experience in facility-based and/or outpatient psychiatric or substance use treatment (or equivalent combination of education and experience).
     
  • Current, active, unrestricted license in the U.S. such as RN, LCSW, LMSW, LMHC, LMFT, or Clinical Psychologist.
     
  • Prior experience in case management/utilization management, including complex psychiatric and substance use cases.
     
  • Managed care experience required.
     
  • Strong oral, written, and interpersonal communication skills, plus problem-solving, facilitation, and analytical abilities.
Jetzt bewerben

Weitere Jobs