Behavioral Health Care Manager Job Description

Behavioral Health Care Manager Job Description

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Behavioral health care manager provides information to members and providers regarding mental health and substance abuse benefits and community treatment resources.

Behavioral Health Care Manager Duties & Responsibilities

To write an effective behavioral health care manager job description, begin by listing detailed duties, responsibilities and expectations. We have included behavioral health care manager job description templates that you can modify and use.

Sample responsibilities for this position include:

Collaborates with behavioral health treatment recovery team, patient, significant other as appropriate and community partners in the development and revision of the recovery plan and coordination of services
Will serve as a resource to other BH Care Managers
Assists with more complex cases, and may participate in inter and intradepartmental teams, projects and initiatives
Uses appropriate screening and medical necessity criteria for behavioral health inpatient and outpatient levels of care
Assists with more complex cases, and will participate in inter and intradepartmental teams, projects and initiatives
Will serve as an assistant to the BH Care Manager Ld in implementing identified operational processes
Will serve as an assistant to the BH Care Manager Lead in implementing identified operational processes
Will develop expertise in specified areas of business needs to assist management with unit operations
May act as lead in the leads absence
Coordinates care between medical and behavioral health vendors, different care levels of behavioral health care

Behavioral Health Care Manager Qualifications

Qualifications for a job description may include education, certification, and experience.

Licensing or Certifications for Behavioral Health Care Manager

List any licenses or certifications required by the position: CCM, CPI, CPR, CEAP, CASAC

Education for Behavioral Health Care Manager

Typically a job would require a certain level of education.

Employers hiring for the behavioral health care manager job most commonly would prefer for their future employee to have a relevant degree such as Master's and Bachelor's Degree in Social Work, Psychology, Counseling, Foundation, Health, Human Services, Public Health, Arts, Education, Health Care

Skills for Behavioral Health Care Manager

Desired skills for behavioral health care manager include:

Healthcare delivery
Community
State and federal laws and resources
CRMS
InterQual
Peradigm
Sidewinder and other software in order to perform job duties
Microsoft applications
DSM V
Mental health and substance abuse community resources and providers

Desired experience for behavioral health care manager includes:

Handles and processes crisis calls
Monitors benefit utilization and educates members regarding Medicare and other public sector accounts
Manages cases and clinical requests for services to ensure that the beneficiaries’ clinical needs are met at the most cost effective and clinically appropriate level
Reviews, coordinates, and makes recommendations with other Care Managers, Sr
Performs special audits, projects, as required
Develops an individualized holistic plan of care for the patient in collaboration with the patient/family/caregiver

Behavioral Health Care Manager Examples

1

Behavioral Health Care Manager Job Description

Job Description Example
Our company is looking to fill the role of behavioral health care manager. Please review the list of responsibilities and qualifications. While this is our ideal list, we will consider candidates that do not necessarily have all of the qualifications, but have sufficient experience and talent.
Responsibilities for behavioral health care manager
  • Identify and advocate for the needs of the patient/families/caregivers within the healthcare system, provider team and community
  • For each visit/telephonic interaction, demonstrates the skills and judgment necessary to implement the plan of care any interventions or procedures necessary
  • Reviewing active census in the All scripts Care Management program
  • Reviewing Record of Admissions
  • Reviewing Allscripts Care Management program throughout the day for notifications from Patients Accounts Hospital Care Investigator
  • Reading faxes and following through with MCO's requests
  • Completing Initial and Concurrent reviews ASAP
  • Initial reviews within 24 hours
  • Attending and participating in Morning Reports, Team Meetings and Barriers to Discharge planning meetings on assigned units
  • Providing names of patients for Mondays reviews to the Case Manager on Friday by 10 a.m
Qualifications for behavioral health care manager
  • Coordinate physical services as needs are identified (home health, DME)
  • Current active unrestricted license as a RN, LCSW, LPC, LMFT, MFT to practice as a health professional within the scope of licensure in state of VA
  • Current active unrestricted license as a RN, LCSW, LPC, LMFT, or MFT to practice as a health professional within the scope of licensure in VA
  • Coordinating utilization management process including appropriate use of UM Clinical Guidelines to refer cases to Peer Reviewers
  • Implements and monitors care management programs for complex cases
  • Coordinates with internal and external resources to meet the identified needs of members
2

Behavioral Health Care Manager Job Description

Job Description Example
Our company is growing rapidly and is hiring for a behavioral health care manager. To join our growing team, please review the list of responsibilities and qualifications.
Responsibilities for behavioral health care manager
  • Conducts audits, and serves as senior member in care management unit
  • Will serve as a resource to other BH Care Managers regarding care management workflow
  • Assists with more complex cases, and participates in inter and intradepartmental teams, projects and initiatives
  • Assists in training/mentoring of new hires
  • Implements care management review processes that are consistent with established industry and corporate standards and are within the care manager’s professional discipline
  • Identifies and refers members whose healthcare outcomes might be enhanced by Health Coaching/case management interventions
  • Effective communication with WPIC management regarding authorization challenges, MCO changes, disposition challenges, updates regarding cases in denial
  • Gathers and maintains current patient progress from unit documentation, treatment team meetings, disposition meetings
  • Implement all PerformCare Agency and Clinical policies, procedures, and internal processes
  • Adhere to all documentation requirements for PerformCare Agency and Clinical policies, procedures, and internal processes
Qualifications for behavioral health care manager
  • MSN in Mental Health Nursing, Psych Nursing or equivalent
  • Minimum 3 years Manager level experience in acute BHS inpatient environment
  • Technical competence with Microsoft Office Programs, Word, Excel, PowerPoint, and excellent keyboard and web navigation skills
  • Requires MS or MA in social work, counseling, nursing or related behavioral health field
  • Experience with Foster Care preferred
  • Substance abuse experience highly preferred
3

Behavioral Health Care Manager Job Description

Job Description Example
Our growing company is searching for experienced candidates for the position of behavioral health care manager. Thank you in advance for taking a look at the list of responsibilities and qualifications. We look forward to reviewing your resume.
Responsibilities for behavioral health care manager
  • Review information and document findings from Members, families, providers, and other involved persons to determine an appropriate level of care
  • Conducts clinical screening, make appropriate determinations regarding level of care based on medical necessity criteria, and complete authorizations within established timeframes
  • Direct Member care through the authorization of services and discharge planning
  • On-Call Responsibilities as scheduled
  • Consult with supervisor to make determinations on exceptional cases
  • Maintain caseload
  • Care management involves use of psychoeducation and monitoring, provision of patient education tools, face to face interventions when warranted, and collaboration with primary care clinicians to ensure appropriate support and management of mental health symptoms
  • Collaborates with clinicians and social service providers to assess physical, behavioral, social and transitional care needs and to develop person centered, integrated, recovery oriented service plans that appropriately match service to need
  • Documents all determinations, notifications, interventions and telephone encounters in the appropriate system and in accordance with established documentation standards and regulatory guidelines
  • Develops, evaluates and adjusts current and future staffing based upon patient care needs and initiates adjustment as needed
Qualifications for behavioral health care manager
  • RN, LCSW, LMSW, LMHC, LPC, LMFT, or Clinical Psychologist, to practice as a health professional within the scope of licensure in applicable states or territory of the United States required
  • Master’s Degree in a behavioral health field, required
  • Required Other Knowledgeable of and comply with state and federal statutes, rules and policies that affect the members
  • Required Intermediate Microsoft Excel Ability to define problems, collect and interpret data, establish facts, draw valid conclusions and process work to completion
  • Preferred Intermediate Microsoft Access Bi-lingual (Spanish and English) capabilities in reading, writing and speaking preferred
  • Master's degree in Counseling, Marriage and Family Therapy, or Social Work from an accredited institution (degree will be verified)
4

Behavioral Health Care Manager Job Description

Job Description Example
Our innovative and growing company is looking for a behavioral health care manager. We appreciate you taking the time to review the list of qualifications and to apply for the position. If you don’t fill all of the qualifications, you may still be considered depending on your level of experience.
Responsibilities for behavioral health care manager
  • Conduct a comprehensive psychosocial assessment of the patient/family's health care needs to identify the strengths, challenges and opportunities
  • Evaluate patient/family/caregiver safety concerns and or obstacles to care
  • Utilize the psychosocial assessment to establish treatment intervention to be included in comprehensive plan of care
  • PATII
  • Maintain fluent knowledge of internal and external resources
  • Provide real time accurate information to patient/family/caregiver for resources for which they are eligible
  • Provide condition-specific and related medical, financial, educational, and social supportive resource information
  • Well versed in navigating the complexities of the healthcare system, social services and insurance fields
  • Provide psychosocial services as identified in the patient's comprehensive plan of care
  • Provides supportive interventions with the goal of improving emotional coping and adherence to the treatment plan and or challenges
Qualifications for behavioral health care manager
  • Experience using Facets and Macess is preferred
  • Current active unrestricted license as a RN, LCSW, LPC, LMFT, or MFT to practice as a health professional within the scope of licensure in VA or NV
  • Current State Licensure as a Clinical Social Worker
  • Intermediate computer software skills in word processing and spreadsheet programs
  • Manual dexterity, hearing, seeing, speaking
  • Experience in behavioral health care management
5

Behavioral Health Care Manager Job Description

Job Description Example
Our company is growing rapidly and is searching for experienced candidates for the position of behavioral health care manager. We appreciate you taking the time to review the list of qualifications and to apply for the position. If you don’t fill all of the qualifications, you may still be considered depending on your level of experience.
Responsibilities for behavioral health care manager
  • Working for system improvement, promoting patient/family/caregiver well-being
  • Act as a liaison between the patient/family/caregiver within the medical team and outside agencies
  • Empower the patient/family/caregiver to problem-solve by exploring options of care when available and alternative plans, when necessary, to achieve desired outcomes
  • Maintain patient records, tracks resource allocation and statistics on patient contact according to division guidelines
  • NCQA/URAC preparation
  • Develop plan of care with your member based on identified needs and recommend and/or coordinate interventions that may include information, education, resources and referrals
  • Work collaboratively with other members of the Interdisciplinary team - to include
  • Utilize Motivational Interviewing and Solution-Oriented approaches in communication with members
  • Adhere to compliance standards, state and federal regulations and individual licensing boards
  • Maintains awareness of key performance indicators/metrics and manages caseload through appropriate management of medical expenses
Qualifications for behavioral health care manager
  • 3 years’ experience with facility-based and/or outpatient psychiatric and substance abuse or substance abuse disorder treatment
  • Current active unrestricted license as a RN, LCSW, LPC, LMFT, MFT to practice as a health professional within the scope of licensure in state of VA or NV
  • Ability to effect change, perform critical analyses and plan and organize workload
  • Ability to work independently, demonstrates flexibility, and be self-motivated with a positive attitude
  • 1 year experience leading and/or mentoring peers
  • Minimum one (1) year of management experience required

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