Colorado EAPA

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New Position Announced at Wellpoint!

Job Description 

Behavioral Health   Care Manager – 77855EB

Hiring   Manager

: Kasey Speyer

Organization

: Commercial and   Specialty Business Division (CSBD)

Job   Level

: E12

AIP/QIP   %

: 7.5-10

National   Zone (Z4) Minimum Salary

: 54560

Natl   Zone (Z4) MRP

: 68200

Primary   Location

: United States

Employee   Referral Bonus

250

Description

 

Responsible for   delivering account management services to contracted Employee Assistance   Program (EAP) customers. Primary duties may include, but are not limited to:   Provides employer consultation to supervisors and managers of the EAP   contracted organizations to help improve productivity and healthy functioning   in the workplace. Case manages mandatory referrals from contracted   organizations for mental health, substance abuse, or other work related   issues. Tracks compliance with protocols and policies and reports utilization   and case management. Coordinates and manages critical incident responses for   employers. Will manage EAP crisis and intake calls.  Keeps account   managers informed of legislative developments and provides related training.

 

Manages psychiatric   and chemical dependency facility-based and outpatient professional treatment   through telephonic or written review. Primary duties may include, but are not   limited to: Using appropriate screening criteria, knowledge and clinical   judgment assesses patient needs and assures that medically necessary   treatment is provided in a quality, cost-effective manner. Follows guidelines   to refer cases to Medical Advisors as appropriate. Utilizes skills and   knowledge in psychiatric and chemical dependency assessment, negotiation,   coordination, implementation, case planning, monitoring, and evaluating to   promote quality member outcomes, to optimize member benefits, and to promote   effective use of resources. Ensures member access to medical necessary,   quality behavioral healthcare in a cost effective setting according to   contract.

 

Qualifications

Requires a Master’s   degree in social work, counseling or related behavioral health field, and   current, unrestricted Colorado license as a Licensed Clinical Social Worker   in relevant state, LPC (Licensed Professional Counselor) designation,   Marriage and Family Therapist, clinical Psychologist, or RN. Requires and 3-5   years experience with facility-based and/or outpatient psychiatric and   chemical dependency treatment, or any combination of education and   experience, which would provide an equivalent background. Previous   experiences in Case Management/Utilization Review preferred.  Must be   able to work Monday-Friday between the hours of 6:00 a.m. – 9:00 p.m.   and holidays.

 

Job   Posting

: Dec 10, 2013, 10:00:00   PM

Unposting   Date

: Dec 31, 2013, 9:59:59   PM

Recruiter: Emily S Barnes

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