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Episodic Care Manager – Behavioral Health, Autism Services
Location
North Carolina
Posted
107 days ago
Salary
$73.7K - $117.9K / year
Seniority
Senior
Job Description
Episodic Care Manager – Behavioral Health, Autism Services
E-Verify Program
• Perform clinical reviews to assess, facilitate, and coordinate the delivery of health care services • Effectively coordinate with providers, members, and internal staff • Review and evaluate cases for medical necessity against medical policy, benefits and/or care guidelines and regulations • Provide notifications to member and/or provider, according to regulatory requirements • Assess appropriateness for secondary case review by the Medical Director (MD) for denials
Job Requirements
- BCBA licensure with a minimum of 3 years of clinical experience
- Must have and maintain a valid and applicable clinical license (NC or compact multi-state licensure) to perform described job duties
- Previous experience with utilization management in Behavioral Health strongly preferred
Benefits
- Medical, dental, and vision coverage along with numerous health and wellness programs
- Parental leave and support plus adoption and surrogacy assistance
- Career development programs and tuition reimbursement for continued education
- 401k match including an annual company contribution
- Work-life balance, flexibility, and the autonomy to do great work
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