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Clinical Care Manager II (full-time)
Location:
Boise, ID
Description:
Clinical Care Manager II - Idaho General Position Summary: This full-time position is responsible for providing utilization review activities and clinical peer reviews for all levels of behavioral health care; clinical assessment, placement and continued stay reviews; completing mental health reviews and determining need for further assessment; collecting and analyzing utilization data; intensive case management. This position also assists with answering crisis phone calls; provides customer support to clients, providers and stakeholders; and participates in quality improvement projects. Essential Functions: * Conduct clinical assessments.* Conduct clinical placement and continued stay reviews.* Conduct clinical peer reviews.* Coordinate community based mental health assessments.* Provide Intensive Case Management services as assigned.* Crisis phone call response. Secondary Functions: * Communicate and advise clients, provider network, and stakeholders regarding behavioral health benefits, utilization management function, community treatment resources, and BPA Health policies, procedures, and criteria.* Participate in quality improvement activities, including peer audits and data collection, tracking and analysis.* Advocate for the client to ensure treatment needs are met. Propose alternative plans of treatment when requests for services do not meet medical necessity criteria.* Provide appropriate referrals as needed.* Perform other duties as assigned. Supervisory Responsibility: None Education and/or Experience: * Master's degree in behavioral health field (i.e., counseling, social work)* Unrestricted Idaho clinical licensure in behavioral health (LPC, LCPC, LCSW or LMFT required)* Proficient with MS Office, including Word, Excel, PowerPoint and Outlook.* Pass a criminal history background check and drug screen. Specific Job Skills and Competencies: * Excellent customer service skills.* Strong interpersonal, oral and written communication, organizational, analytical, time management, and computer skills.* Knowledge of utilization management procedures and behavioral health community resources and providers.* Crisis intervention skills.* Ability to exercise sound judgment, make logical decisions and to perform independently and as a team member.* Knowledge of DSM 5 and ASAM criteria.* Ability to audit clinical review criteria, analyzes specific utilization problems, plan and implement solutions that directly influence quality of care.* Strong initiative and creative problem-solving abilities.* Appreciation of cultural diversity and strong sensitivity towards target member population.* Detail oriented and accurate with the ability to manage multiple projects at one time.* Adherence to the values and mission of BPA Health* Must be reliable, punctual, and flexible. Travel Requirements: Limited travel, up to 10% may be required. Ability to make trips involving overnight stays. Means of transportation required. Physical Requirements: While performing the duties of this job, the employee is continuously required to read, talk and hear. The employee is continuously required to walk, sit or stand at a computer workstation, use hand to finger, handle or feel objects, tools, or controls; and reach with hands and arms. The employee frequently lifts and/or moves up to 10 pounds. Specific vision abilities required by this job include close vision and the ability to adjust focus.PI1b90981c41b9-29448-34436110PDN-9c07c440-2865-4bf3-9ebb-95413XXXXXX
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More About this Listing: Clinical Care Manager II (full-time)
Clinical Care Manager II (full-time) is a Executive Manager Job at BPA Health located in Boise ID. Find other listings like Clinical Care Manager II (full-time) by searching Oodle for Executive Manager Jobs.
Clinical Care Manager II (full-time) is a Executive Manager Job at BPA Health located in Boise ID. Find other listings like Clinical Care Manager II (full-time) by searching Oodle for Executive Manager Jobs.