ASD Clinical Care Manager in Rocky Hill, CT at Beacon Health Options

Date Posted: 11/8/2019

Job Snapshot

Job Description

We Help People Live their Lives to the Fullest Potential!

For more than 30 years, Beacon has changed the way people live with behavioral health conditions. Today, we are the undisputed leader in behavioral health management, serving 40 million people across all 50 states. At Beacon, we are committed to delivering a ‘world-class’ candidate experience from the moment you click ‘Apply’! Our goal is to help you reach your fullest potential, while utilizing your talents and expertise to help us deliver on our promise.

Do you have a passion for helping others? If so, we are looking for you!

The ASD Clinical Care Manager performs an integral role by facilitating high quality, cost effective managed behavioral health care for members with an ASD related diagnosis. The Clinical Care Manager functions as part of an interdisciplinary team designed to meet the needs of the Partnership’s ASD population. The goal of care management is to enhance member and provider participation in the plan of care and to maximize continuous, comprehensive and coordinated care for each identified enrollee. The Clinical Care Manager works in the context of a Call Center and manages member and provider requests for information as well as the clinical authorization process.

Position Responsibilities:

  • Provides authorizations, peer reviews and referrals to facilities, providers and group practices telephonically and via the CONNECT system. Reviews and assists in the determination of level of care for ASD related Medicaid authorized behavioral health services.
  • Responds to member’s emergent needs by providing crisis counseling via phone, assessing level of crisis and providing referrals to providers and/or community resources to better assess member needs and provides ongoing clinical support.
  • Assesses comprehensive evaluation and treatment planning submitted by ASD providers through concurrent review process and ensures continuity of care to members through discharge process.
  • Presents and reviews cases with the Medical Director to ensure member is connected to the right level of care at the right time and consults for best practices.
  • Researches and refers to appropriate community resources to address needs impacting member's health, safety or ability to access care that cannot be met through contracted benefit package.
  • Develops collaborative relationships with providers to deliver appropriate and timely ASD related health care services in a caring, professional and responsive manner.
  • Helps develop and facilitate implementation of the most cost effective plan of care for identified members while helping to ensure that members receive high quality care.
  • Advocates for member’s needs to facilitate movement through systems both internally and externally to the organization.
  • Initiates and/or participates in patient care conferences with other health care professionals as it relates to the ASD Medicaid population.
  • Attends conferences/in- service presentations and completes all requirements to maintain licensure.
  • Participates in quality management activities through documentation reports, Inter-rater Reliability testing and quarterly audits for ASD providers and internally as required.

What you Contribute?

Education: This position requires a Master’s Degree and clinical licensure with ASD related experience or a Master’s Degree with a BCBA.

Licensure: Requires an active Connecticut license in one of the following: Social Work-LCSW, Licensed Professional Counselor-LPC, Marriage and Family Therapist-LMFT, Registered Nurse-RN or BCBA certification.

Knowledge, Skills & Abilities:

  • Two years’ post licensure experience in the delivery of social work/counseling services in a behavioral health care or home health setting is required.
  • Substance abuse and managed care experience is a benefit.
  • Knowledge of local community resources is essential.
  • Working knowledge of care management principles and practices, cost containment principles,
  • Excellent PC skills (MS Office Suite)
  • analytical and problem solving skills needed.

What Makes Us Different?

  • Here, it’s not just a job – it’s an opportunity to change lives.
  • Our employees are learners, innovators and original
  • Our mission and values guide the way we treat our members, providers and each other.

What We Have to Offer:

  • Healthcare benefits available starting day 1!
  • Health & wellbeing incentives, such as gym membership reimbursement
  • 401K with company match to help reach your future financial goals
  • Generous PTO, because we know life happens outside of work
  • Tuition reimbursement so you can keep reaching your fullest potential

If Beacon sounds like the place for you, what are you waiting for? Apply with us today to get started!

Beacon Health Options is proud to be an Equal Opportunity and Affirmative Action Employer as well as a Drug Free and Tobacco Free Work Environment. EOE/AA/M/F/Veterans/Disabled

At Beacon Health Options, our candidate's data privacy is a top priority. Our recruiting team conducts all communications using official company email (@BeaconHealthOptions.com). Only candidates who have applied for an open position through our Careers page (careers.beaconhealthoptions.com) will be engaged in our interview process. Beacon conducts all interviews in person or over the phone. At no time during the recruiting process will any Beacon recruiter request any financial or personally identifiable information from you.

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