AmeriHealth Caritas Education/Experience: in Robbinsville, New Jersey

Education/Experience:

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  • Master’s Degree.

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  • Graduate degree from an accredited educational program in Social Work, Clinical/Counseling Psychology, or Nursing.

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  • Licensed Clinical Social Worker or Licensed Professional Counselor or Licensed Marriage and Family Counselor Licensed Certified Drug and Alcohol Counselor, Certified Drug and Alcohol Counselor, Board Certified Behavior Analyst required.

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  • LCADC preferred

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  • Bilingual preferred.

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  • Independently licensed Behavioral Health professional or a BCBA preferred.

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  • Minimum three years post graduate clinical experience or equivalent combination of education and clinically related work experience. Minimum one year experience working with a managed care system.

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  • Minimum one year experience in Behavioral Health Service Delivery System. Knowledge base in Medicaid, Medicare and Commercial Managed Care Systems .

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  • Demonstrated knowledge of plan benefit information and managed care.

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  • PC Skills and Experience utilizing Microsoft Office, Outlook, Excel and PowerPoint.

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  • Ability to provide constructive feedback with a focus on improved quality.

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  • Ability to communicate in a positive/professional manner both orally and written.

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  • Ability to work independently, complete multiple tasks in the allotted timeframe.

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  • Strong problem solving skills and decision making skills.

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  • Ability to work effectively in a team environment.

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Behavioral Health Care Manager (Part Time 10 hours)

Location: Robbinsville, NJ

Telecommuter?: No

ID**: 13947

Job Brief

responsible for the daily functions of the clinical department including triage of calls, care coordination and utilization management

Your career starts now. We’re looking for the next generation of health care leaders.

At AmeriHealth Caritas, we’re passionate about helping people get care, stay well and build healthy communities. As one of the nation's leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together we can build healthier communities. If you want to make a difference, we’d like to hear from you.

Headquartered in Philadelphia, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. Discover more about us atwww.amerihealthcaritas.com.

As an individual contributor, the Behavioral Health Care Manager is responsible for the daily functions of the clinical department including triage of calls, care coordination and utilization management. The Care Manager makes timely intensity of service determinations or refers to higher level review when indicated. Provides linkage to community services as needed. Adheres to customer service level agreements and expected productivity measures. Adheres to documentation requirements. Identifies wide range of community resources to caller. Demonstrates respectful communication and excellent customer service. Adheres to recognized ethical standards. Completes all required trainings on time. Assists with projects as assigned.

Education/Experience:

  • Master’s Degree.

  • Graduate degree from an accredited educational program in Social Work, Clinical/Counseling Psychology, or Nursing.

  • Licensed Clinical Social Worker or Licensed Professional Counselor or Licensed Marriage and Family Counselor Licensed Certified Drug and Alcohol Counselor, Certified Drug and Alcohol Counselor, Board Certified Behavior Analyst required.

  • LCADC preferred

  • Bilingual preferred.

  • Independently licensed Behavioral Health professional or a BCBA preferred.

  • Minimum three years post graduate clinical experience or equivalent combination of education and clinically related work experience. Minimum one year experience working with a managed care system.

  • Minimum one year experience in Behavioral Health Service Delivery System. Knowledge base in Medicaid, Medicare and Commercial Managed Care Systems .

  • Demonstrated knowledge of plan benefit information and managed care.

  • PC Skills and Experience utilizing Microsoft Office, Outlook, Excel and PowerPoint.

  • Ability to provide constructive feedback with a focus on improved quality.

  • Ability to communicate in a positive/professional manner both orally and written.

  • Ability to work independently, complete multiple tasks in the allotted timeframe.

  • Strong problem solving skills and decision making skills.

  • Ability to work effectively in a team environment.

EOE Minorities/Females/Protected Veterans/Disabled