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Behavioral Health Care Manager - 39528JC - (US-CA-San Diego - 92199)
Minimum Education: Tech School Job Type: Full Time Email this job to yourself or to a friend | Job Match Test | Resume Guide
Click Here to Apply OnlineWellPoint
is the nation's leading health benefits insurer and a Fortune Top 50 company. At WellPoint, we are dedicated to improving the lives of the people we serve and the health of our communities. WellPoint strives to be the most trusted choice for consumers and a leader in affordable quality care with an unyielding commitment to meeting the needs of our diverse customers.
Bring your expertise to our innovative, performance-focused culture, and you will discover lasting rewards and the opportunity to take your career further than you can imagine.
Performs BHA case management within the scope of licensure for members with behavioral health care needs. Conducts assessments to identify individual needs. Identifies specific case management plan to address objectives and goals as identified during assessment. Implements care plan by facilitating authorizations/referrals as appropriate within benefits structure or through extra-contractual arrangements. Coordinates internal and external resources available to meet identified needs. Monitors and evaluates effectiveness of case management plan. Modifies case management plan as necessary. Assists in problem solving providers, claims or service issues.
Skills:
Minimum of 3-5 years of clinical experience in Psychology or Social Work with current, unrestricted California license as a Marriage & Family Therapist or Clinical Social Worker. Psychologist strongly preferred. Experience with patients with a broad range of complex psychiatric disorders is required. Ability to comprehend medical policy and criteria to clearly articulate health information is required. Excellent communication and interpersonal skills are essential. Self motivation and the ability to assume a lead role in ensuring that all objectives are met is desired. Strong computer skills are required. WellPoint is ranked as one of America's Most Admired Companies among health insurers by Fortune magazine and is a 2008 DiversityInc magazine Top 50 Company for Diversity.
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