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Role Description
As a Behavioral / Mental Health Care Advocate you will be responsible for case management and utilization review of behavioral health and substance abuse cases. You'll have a direct impact on the lives of our members as you recommend and manage the appropriate level of care throughout the entire treatment plan.
• Managing and administering inpatient and residential behavioral health benefits
• Reviewing clinical assessments and determining appropriate levels of care
• Determining if additional clinical services are needed
• Coordinating benefits and transitions between various levels of care
• Identifying ways to add value to treatment plans and consulting with facility staff on those ideas
• Identify appropriate community-based services for discharge planning as indicated
Qualifications
• Master’s degree in psychology, Social Work, Counseling, or an RN with 2+ years of experience in behavioral health
• One of the following active, unrestricted, independent licenses to practice in the State of Arizona: LCSW, LMFT, LPC, PSY; OR RN with 2+ years of behavioral health experience
• 2+ years of experience in a related mental health environment
• Proficiency with Microsoft Office Suite programs (Word, Outlook, Internet)
• Arizona residency
• Willing to work occasional holidays (dictated by business need)
• Willing to accommodate changes in working hours (dictated by business need)
Requirements
• Experience in an inpatient setting
• Experience working in an environment that required coordination of benefits and utilization of multiple groups and resources for patients
• Prior experience with utilization management is highly preferred
• Experience working with Medicaid lines of business
• Dual diagnosis experience with mental health and substance abuse
• Experience working in a call center environment
• Proven excellent communication skills
• Proven ability to thrive in a fast-paced environment
Benefits
• Comprehensive benefits package
• Incentive and recognition programs
• Equity stock purchase
• 401k contribution (all benefits are subject to eligibility requirements)
Salary
The salary for this role will range from $58,800 to $105,000 annually based on full-time employment.