United States onlyThis FULL-TIME position is responsible for managing psychiatric and substance abuse or substance abuse disorder facility-based and outpatient professional treatment health benefits through telephonic or written review, and related duties as assigned.
Requirements
- Uses appropriate screening criteria knowledge and clinical judgment to assess member needs to ensure access to medically necessary quality behavioral healthcare in a cost effective setting in accordance with UM Clinical Guidelines and contract.
- Performs psychiatric and substance abuse or substance abuse disorder assessment coordination implementation case planning monitoring and evaluating to promote quality member outcomes to optimize member health benefits and to promote effective use of health benefits and community resources.
- Assists with more complex cases and may participate in inter and intradepartmental teams projects and initiatives.
Benefits
- 19 days of PTO
- 12 paid holidays, 13 paid holidays during election years
- Merit / COLA increases
- Flex time allowed, during the same week
- Medical, dental and vision insurance
- Medical and dependent flexible spending account
- Pet insurance
- Mass transportation benefit for the Maryland and Washington, D.C. area
- 401k with a generous employer match
- Easy to use employee self-serve HR portal
