Job Description
To conduct utilization, quality management and/or case management activities in the behavioral health field in accordance with policies and procedures.Required Experience:
* Two years direct patient care experience
Required Education:
* Masters Degree (preferably in a behavioral health-related field)
Required Licenses and/or Certifications:
* Licensed Clinical Social Worker ( LCSW), Licensed Clinical Professional Counselor (LCPC), Licensed Marriage & Family Therapist (LMFT), or PhD with a current unrestricted license
Required Knowledge, Skills and Abilities (KSAs):
Skills:
* Verbal & written communication
* Documentation
* Clinical
* Critical thinking
* Problem solving
* Decision making
* Microsoft Word - Intermediate
* Microsoft Excel - Intermediate
* Microsoft Access - Intermediate
* Microsoft PowerPoint - Intermediate
Ability to:
* Contribute to program goals and objectives in containing behavioral health care costs and maintaining a high quality medical delivery system through the program procedures for conducting activities.
* Perform telephonic review for inpatient and outpatient services using InterQual criteria.
PREFERRED QUALIFICATIONS:
* Experience in utilization review, quality assurance, discharge planning or other cost management programs preferred
* Experience using InterQual criteria or Milliman criteria for behavioral health preferred
* Behavioral health experience in multiple levels of care for Behavioral Health Utilization Management/Case Management preferred-substance abuse and mental health
* Knowledge of utilization management/case management
* Call center knowledge
Position reports to: Manager, Behavioral Health
Starting Salary (Grade 15P): $24.43/hour - $30.54/hour
Part-Time - 20 hours/week
Internal Posting Close Date: 11/27/2013
External Posting Close Date: until filled
Come work for a leading Health Insurance carrier in Idaho. To learn more about the requirements for this position, to search other employment opportunities and to apply online please visit our Web site at www.bcidaho.com/careers. We offer excellent benefits and competitive salaries, including incentive programs, 401(k), paid holidays, and much more! EEO/AA/D/V
Job Requirements
Country: USA, State: Idaho, City: Meridian, Company: Blue Cross of Idaho.
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