CLINICAL MANAGER in Monterey Park, CA at Beacon Health Options

Date Posted: 2/6/2018

Job Snapshot

Job Description

We are currently seeking a dynamic Clinical Manager to join our team at our office in Monterey Park, CA.  The Clinical Manager is responsible for overseeing and monitoring the day-to-day workflow of the UM, CM, and all other clinical functions on site.  The Clinical Manager will supervise a team of Care Managers and Service Coordinators.  S/He will provide support and assistance in the application of Beacon’s level of care criteria, support policies and procedures and being available to respond to and train staff on difficult calls.   The Clinical Manager, in conjunction Beacon Health Options clinical leadership and the Director of Care Management will identify training needs for other staff members, assist the clinical department in reaching contractual goals, performance objectives and support the organizational goals of customer service, efficient utilization management, organizational competency and value added case management.

Position Responsibilities:

  • Authorizes outpatient behavioral health treatment according to clinical information provided and criteria for medical necessity and appropriateness of care

  • Proposes alternative treatment when treatment requests do not meet medical necessity criteria

  • Analyzes specific utilization problems, and plans and implements solutions that directly influence quality of care and financial liability

  • Interacts with physicians and members of the provider clinical team for authorization decisions

  • Provides information to beneficiaries and providers regarding mental health and substance use disorder benefits and community treatment resources

  • Interacts with supervisory staff and County staff to discuss clinical authorization questions and concerns regarding specific treatment requests

  • Interacts with providers and facilities in a professional, respectful manner that facilitates the treatment process

  • Complies with the ASO’s standards for documentation of clinical information, clinical contacts, and care authorization

    Position Requirements:

    Education: Master’s degree in psychology, counseling, social work or related field.

    Licensure:  Must have a current, valid, unrestricted license in behavioral health or nursing. (RN, LCSW, MFT, LPCC, PhD or PsyD)

    Relevant Work Experience:    Three to five years of combined behavioral health clinical and managed care experience

    Knowledge, Skills & Abilities:

  • Knowledge of current behavioral health principles, procedures, and treatment protocols

  • Strong interpersonal skills and good written and verbal communication skills

    TO APPLY

    Click below on “Apply for this Position” to create a profile and apply for the position

    Beacon Health Strategies, LLC., a Beacon Health Options company, is proud to be an Equal Opportunity Employer as well as a Drug Free Work Environment. EOE/M/F/Veterans/Disabled

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