Behavioral Health Care Manager, Arizona

Optum; Phoenix (AZ); Remote; USD 70,000 - 95,000; Full time

Job summary

Optum is seeking a Behavioral Health Care Manager to support high-risk members remotely in Arizona. You will engage members, complete assessments, and coordinate with care teams to improve outcomes.

This role works within an Integrated Care Management Model, joining weekly interdisciplinary rounds and collaborating with providers to ensure evidence-based, medically necessary services. Candidates must hold an AZ license (LCSW/LMFT/LP/Counselor) and possess 2+ years in mental health, with AZ

Qualifications

• Master's degree in Psychology, Social Work, Counseling, or Marriage and Family Therapy.
• Active, unrestricted Arizona license as an LCSW, LMFT, LPC or LP.
• 2+ years of experience in a related mental health environment.
• 1+ years of experience working with local and state community resources in Arizona.

Responsibilities

• Engage members transitioning through various levels of behavioral health care.
• Complete member assessments and educate on resources and services available to members.
• Coordinate and collaborate with providers and treatment teams.
• Strategize solutions for barriers delaying care or services.
• Identify ways to add value to treatment plans and consult with facility staff or outpatient care providers.
• Work from an Integrated Care Management Model to ensure evidenced-based care and medically necessary services.
• Join weekly interdisciplinary team rounds to collaborate with cross-functional teams on high-risk members.

Skills

2+ years experience in mental health

1+ years with AZ community resources

Education

Master's Degree in Psychology, Social Work, Counseling, or Marriage and Family Therapy; or Doctorate in Psychology

Job description

Behavioral Health Care Managers work with complex and high-risk needs with a goal of engaging the member in the treatment process, decreasing their reliance on higher levels of care, helping them access appropriate community services, and improving their community tenure. You will coordinate and collaborate with their families and care teams to help our members live their lives to the fullest.

This fully remote position requires permanent residency and independent clinical licensure in Arizona.

Primary Responsibilities

• Engage members that may be transitioning through various levels of behavioral health care
• Complete member assessments and educate on resources and services available to members
• Coordinate and collaborate with providers and treatment teams
• Strategize and solution for any barriers preventing care or delaying services
• Identify ways to add value to treatment plans and consult with facility staff or outpatient care providers on those ideas
• Work from an Integrated Care Management Model to ensure high-risk members receive evidenced-based care and medically necessary services
• Join weekly Interdisciplinary Team Rounds to collaborate with cross-functional teams on high-risk members

Required Qualifications

• Master's Degree in Psychology, Social Work, Counseling, or Marriage and Family Therapy; or Doctorate-degreed Psychologist
• Active, unrestricted Arizona license as an LCSW, LMFT, LPC or LP
• 2+ years of experience in a related mental health environment
• 1+ years of experience working with local and state community resources in Arizona

Preferred Qualifications

• Experience with community behavioral health agencies and/or inpatient facilities
• Dual diagnosis experience with mental health and substance abuse
• Experience working at a managed care organization (MCO) or health insurance company
• Experience working in an environment that required coordination of benefits and utilization of multiple groups and resources for patients
• Demonstrated knowledge of insurance benefits, including Medicaid and Medicare
• Demonstrated knowledge of Arizona Health Care Cost Containment System (AHCCCS)
• Demonstrated knowledge of Arizona's Division of Developmental Disabilities (DDD)