Licensed Behavioral Health Advocate

Konsus, Inc. (Superside); United States; Remote; USD 60,000 - 85,000; Full time

Job summary

A leading company seeks a Telephonic Behavioral Health Care Advocate to provide remote support for outpatient behavioral health services. This role involves conducting reviews, shaping member treatment plans, and ensuring adherence to coverage guidelines, requiring a Master's degree in relevant fields and 2+ years of experience in behavioral health.

Qualifications

• Active, unrestricted licensure required.
• 2+ years of experience in behavioral health setting.
• Experience in outpatient psychotherapy and community-based treatment.

Responsibilities

• Focus on outpatient Commercial, Medicaid, and Medicare behavioral health services.
• Conduct outpatient reviews to determine appropriate care and assess member coverage.
• Shape member treatment in partnership with providers.

Skills

MS Office proficiency

Outpatient psychotherapy

Community-based treatment

Education

Licensed Master's degree - Independent Level Clinician

Job description

A company is looking for a Telephonic Behavioral Health Care Advocate - Remote.

Key Responsibilities:

• Focus on outpatient Commercial, Medicaid, and Medicare behavioral health services
• Conduct outpatient reviews to determine appropriate care and assess if member care meets coverage guidelines
• Shape member treatment in partnership with providers and administer benefits while reviewing treatment plans

Required Qualifications:

• Active, unrestricted Licensed Master's degree - Independent Level Clinician in Psychology, Social Work, Counseling, or Marriage or Family Counseling, or an RN with 2+ years of experience in behavioral health
• Active, unrestricted licensure
• 2+ years of experience in a behavioral health setting
• Outpatient psychotherapy and community-based treatment experience
• Proven MS Office proficiency (Word, Excel, Outlook, Internet)