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Behavior Health Case Manager
4 weeks ago
Contract
Nashville, Tennessee, US

Job Description

We are seeking candidates to join our team who would be responsible for  below responsibilities 

  1. BH Intake representative is responsible for processing authorization requests from customers, providers and facilities.
  1. BH Intake Representative is responsible for telephonic outreach to customers regarding BH benefits and services.
  1. BH Intake Representative is also responsible for conducting post discharge outreach to customers to assess for needs and barriers after psychiatric inpatient treatment.
  2. BH Intake Representative is required to adhere to Policies and Procedures and all Compliance Rules and Regulations.

RESPONSIBILITIES AND FUNCTIONS:

  • Monitors daily productivity to ensure all work is completed timely and accurately.
  • Adheres to call center procedures and ensures adequate coverage of phone queue.
  • Maintain confidentiality and adheres to all HIPAA and PHI regulations.
  • Completes all assigned and required trainings.
  • Adheres to all Policies and Procedures to ensure compliance.
  • Processes all organization determination authorization requests within required time frames and ensures compliant documentation of each request.
  • Processes all assigned calls within required time frames and ensures compliant documentation of each call processed.
  • Attends staff meetings and one on one meetings with leadership as scheduled.

Skills: Two years' experience in utilization management, behavioral health direct care, or behavioral health case management.


Education:

  • Bachelor's degree in mental health field or psychology or social work related field required.
  • Master's degree in mental health field or psychology/social work related field preferred (special note: this educational level may be required by some CBH customers as designated specifically within their contracted services).
  • Experience level: 2 years working in utilization management, case management or other mental health direct care.
  • The applicants must have experience working in mental health and must have a minimum of a bachelors in psychology or social work, most of my staff are masters level social workers or therapists.
  • There is no negotiation on hiring someone without an education in these areas, so I will not consider any candidates who lack the education.


Job Requirements

Two years' experience in utilization management, behavioral health direct care, or behavioral health case management.

 

Job Code: 50068367

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Recruiter Chirag
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