Telehealth Behavioral Health Clinical Manager

First Health Care of Puerto Rico; Guaynabo (PR); Sur place; USD 85 000 - 110 000; Plein temps

Avantages offerts par ce poste

Competitive pay

Medical plan

Dental plan

Vision plan

401(k) match

Career development

Tuition incentive

Continuing education

Vacation time

Sick leave

Résumé du poste

Universal Health Services seeks a Clinical Manager (CLM) of the Behavioral Health Contact Center to oversee telephonic counseling, crisis and emergency management, and referral coordination. The CLM supports case managers and colleagues, ensures adherence to organization policies, and maintains accessibility and quality of care for our members.

The role requires collaboration with leaders, psychiatrists for complex cases, and coordination with mental health clinics and divisions to guarantee

Qualifications

• Master’s in social work, psychology, psychological counseling, mental health counseling, or psychiatric nursing.
• Valid and current active license for Social Work, Psychiatric Nursing, Psychological Counseling, Psychology, or Mental Health Counseling
• Professional associating membership (colegiación): valid membership for Social Work and Psychiatric Nursing
• Two or more years of experience in the health field.
• Knowledge in Microsoft Office

Responsabilités

• Counsels and provides training support for new staff when required.
• Attends and participates in assigned meetings.
• Gathers data for service reports and trends.
• Fulfills objectives and tasks within established time.
• Identifies matters to the Behavioral Health Contact Center Director.
• Complies with attendance and punctuality policy.
• Applies policies and procedures of the Behavioral Health Contact Center.
• Maintains professional conduct and therapeutic relationship with patients and relatives.
• Comply with company policies and customer requirements.
• Receives and verifies referrals for appointment coordination.
• Timely coordination of care for members and dependents.
• Issues authorizations for services and informs members.
• Notify relevant parties of coordinated appointments.
• Provide backup to Utilization Review Department after hours.
• Participate in a new project as assigned.

Connaissances

Microsoft Office

Bilingual (preferred)

Formation

Master’s in social work, Psychology, Psychological Counseling, Mental Health Counseling, or Psychiatric Nursing

Description du poste

Responsibilities

FHCHS of PR, Inc. organization with extensive experience in managing mental health benefits and developing solutions that promote the emotional well-being of individuals, families, workplaces, and communities. Since our foundation in 1996, at FHC Mental Health, we have worked to facilitate access to excellent mental health services and support people at different stages of their lives. Our experience has allowed us to evolve, expand our services, and develop integrated solutions that promote prevention, guidance, recovery, and continuity of care. Website:https://fhcsaludmental.com/

The Clinical Manager (CLM) of the Behavioral Health Contact Center is responsible for the depth of the clinical interventions with people that require telephone counseling. CLM is responsible for crisis and emergency management and recommends the alternate care levels leading to a rehabilitation plan. Establish direct communication with leaders and representatives of the Behavioral Health Contact Center, with people within FHC, mental health clinics, and with the divisions of the integrated system to guarantee the continuity of care. Consults with psychiatrists the more complex cases. Offers support to Case Managers and to all the efforts related to complying with handling the phone calls. The Clinical Manager is responsible for telephonic counseling, managing referrals and providing support in the coordination and notification of appointments scheduled for our members, in accordance with the timeframes established in the organization's policies. This role also ensures accessibility and quality of care for our members.

1. Counsels and provide support in the training or retraining process to new staff, if required.
2. Attends and participates in the assigned meetings.
3. Gathers the data and information requested for the preparation of reports of services and tendencies.
4. Fulfills satisfactorily the objectives and task delegated within the established time.
5. Identifies and reports relevant matters to the Behavioral Health Contact Center Director or her assignee.
6. Complies with the established attendance and punctuality policy.
7. Applies in a consistent manner the policies and procedures that are pertinent to the Behavioral Health Contact Center at FHC.
8. Maintains professional conduct, follows the code of conduct, and maintains a therapeutic relationship with the patients and their relatives, according to the policies established at the institution.
9. Faithfully comply with all policies and procedures of the Company and all requirements of our customers.
10. No provides business information or material to our competitors or any other client.
11. Agree to comply faithfully with the following requirements, but not limited to: Code of Conduct, Ethics, Confidentiality, Conflict of Interest, etc.
12. Receives and verifies the referral for the coordination of appointments and requests additional information, if necessary.
13. Timely coordination of care for members and dependents is essential.
14. Issue authorizations for services coordinated and inform members/dependents.
15. Notify the relevant parties of any coordinated appointments that may be necessary.
16. Provide backup to Utilization Review Department out of business hours including document in the appropriate platform services request, provide information of service request status, provide information of operational hours, orient about the appointment of representative process, close previously authorized services and send notifications to providers, among others.
17. Participate in a new project as assigned by the supervisor or director.

Qualifications

Requirements:

• Master’s in social work, Psychology, Psychological Counseling, Mental Health Counseling, or Psychiatric Nursing
• Valid and current active license for Social Work, Psychiatric Nursing, Psychological Counseling, Psychology, or Mental Health Counseling
• Professional associating membership (colegiación): valid membership for Social Work and Psychiatric Nursing
• Two or more years of experience in the health field.
• Knowledge in Microsoft Office
• Preferred fully bilingual

Benefit& RewardsHighlights

• Competitive Compensation
• Excellent Medical, Dental, Vision and Prescription Drug Plans
• 401(K) with company match
• Career development opportunities within UHS and its 300+ Subsidiaries!
• Tuition incentive
• Continuing education incentive
• Vacation and sick license, among others.

About Universal Health Services

One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemedFortune500®corporation, annualrevenuesduring2025were $17.4billion.In 2026,UHS was again recognized as one ofFortuneWorld’s Most Admired Companies™ and in 2025, waslisted in Forbes ranking of America’s Largest Public Companies.

Headquartersin King of Prussia, PA, UHS has approximately101,500employees and continue to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services locatedin 40U.S.states, Washington, D.C., Puerto Rico and the United Kingdom.For additional information visitwww.uhs.com.

EEO Statement

All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.

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