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Amerihealth Caritas

Behavioral Health Care Manager

Posted 2 hours ago
2-5 years experience
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AI Summary

The Behavioral Health Care Manager performs clinical department functions including call triage, care coordination, and utilization management. They facilitate access to therapeutic services and ensure youth receive appropriate care through integrated service plans.

For roles that are 100% remote or hybrid, you must have access to a reliable high-speed internet connection to support daily job responsibilities. A minimum bandwidth of 50 Mbps download and 5 Mbps upload is required. Those fully remote associates residing in states where service is required by contract, law, or regulation will be allowed to submit for reimbursement.

Your career starts now. We’re looking for the next generation of health care leaders.

At AmeriHealth Caritas, we’re passionate about helping people get care, stay well and build healthy communities. As one of the nation's leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together we can build healthier communities. If you want to make a difference, we’d like to hear from you.

Headquartered in Newtown Square, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services.

Discover more about us at www.amerihealthcaritas.com.

Job Summary

PerformCare provides access to the NJ Children’s System of Care.  The Behavioral Health Care Manager is responsible for the daily functions of the clinical department including triage of calls, care coordination and utilization management. The Behavioral Health Care Manager facilitates access to behavioral health, substance use and intellectual/developmental disabilities therapeutic services, ensuring that every youth receives the right services at the right time as part of an integrated service plan. The Behavioral Health Care Manager makes timely intensity of services determinations based on urgency of need, including the management of emergencies which includes access to mobile response services.

Duties and responsibilities are, but not limited to:

  • Makes timely intensity of services determinations or refers to higher level review when indicated.
  • Provides linkage to community services as needed.
  • Adheres to customer service level agreements and expected productivity measures.
  • Adheres to documentation requirements.
  • Identifies wide range of community resources to caller.
  • Demonstrates respectful communication and excellent customer service.
  • Supports utilization management functions through the review of treatment plans and assessments.
  • Adheres to recognized ethical standards. 
  • Completes all required trainings on time.
  • Assists with projects as assigned.

Education/Experience:

  • Master’s Degree.
  • Graduate degree from an accredited educational program in Social Work, Clinical/Counseling Psychology.
  • Active NJ clinical licensure as an Advance Practice Nurse with a specialty in mental health or youth services, a Licensed Clinical Social Worker (LCSW), a Licensed Marriage and Family Therapist (LMFT) , a Licensed Professional Counselor (LPC), a Licensed Psychologist.
  • Minimum of 2 years in children’s mental health, DCPP, juvenile justice or a related public sector human services or behavioral healthcare field, providing community-based services to children, youth and young adults and their family/caregivers.

Other Skills:

  • Background and experience in family systems, community systems and resources; case management; child and family counseling/therapy; child protection or child development.
  • Clinical and cultural competency with the training and experience necessary to manage complex cases in the community across child serving systems.
  • Ability to screen and assess crisis or emergency calls and assess the caller’s degree of acuity/severity and clinical necessity for treatment based on DCF/CBHS approved criteria.
  • Computer savvy.
  • Ability to multi-task;
  • Demonstrates knowledge of a variety of approaches to intervention and support.

Our Comprehensive Benefits Package

Flexible work solutions including remote options, hybrid work schedules, Competitive pay, Paid time off including holidays and volunteer events, Health insurance coverage for you and your dependents on Day 1, 401(k) Tuition reimbursement and more.

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