Behavioral Health Care Manager

Shift: Days

WHAT YOU WILL DO IN THIS ROLE:

EXPERIENCE/EDUCATION/QUALIFICATIONS

• Masters degree in Mental Health Social Work Clinical Psychology or a closely related field required.
• Current unencumbered Oregon credential/licensure in one (1) of the following required:
• Licensed Clinical Social Worker (LCSW).
• Licensed Professional Counselor (LPC).
• Licensed Psychologist (PhD or PsyD).
• Clinical Social Work Associate (CSWA).
• Licensed Master of Social Work (LMSW).
• Licensed Marriage and Family Therapist (LMFT).
• One (1) year clinical experience required.
• Experience or training in the following required:
• Health care delivery systems and/or managed care patients.
• Computer applications including electronic documentation (e.g. MS Office EPIC Clinical Care Advanced).
• Experience in the following preferred:
• Case management.
• Medicare and Medicaid rules and regulations and health plan benefit structure and policy.

KNOWLEDGE/SKILLS/ABILITIES

• Communication Effective written and verbal communication skills provided to members providers and organization staff. Able to tactfully discuss issues and listen to and understand complex information/situations. Ability to apply motivational interview techniques when working with members. Proactively resolve conflicts in positive and constructive manner.
• Confidentiality Knowledge of State and Federal (HIPAA) laws pertaining to confidentiality of protected health information. Ability to comply with laws and maintain confidentiality of patient information.
• Critical Thinking Identifies complex problems. Involves key parties gathers pertinent data and considers various options in decision making process. Develops evaluates and implements effective solutions in a member centric manner.
• Social Perceptiveness Ability to work with a diverse population from pediatrics to geriatrics. Basic understanding of agerelated differences in caring for and/or communicating with members and caregivers. Possess personal sensitivity to the needs and experiences of others and a nonjudgmental attitude towards persons of differing standards values lifestyles and ages.
• Knowledge of Medicare and Medicaid rules and regulations and health plan benefit structure and policy. Ability to appropriately apply evidence based clinical practice and criteria to authorization requests.