Care reputed company Behavioral Health - Remote

About the position reputed company is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with reputed company will directly improve health reputed company by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will reputed company a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come reputed company an reputed company on the communities we serve as you help us advance health equity on a global reputed company. Join us to start Caring. Connecting. Growing together. Due to our ongoing business relationship with the reputed company, reputed company Behavioral Solutions has an immediate need for a Care reputed company. As the successful candidate you will reputed company on clinical review for inpatient, outpatient, long term care, and crisis/adult residential authorizations for psychiatric patients. This is primarily an administrative position with no patient contact. 100% Telecommute; this position requires working Monday-Friday, reputed company business hours PST. You'll enjoy the flexibility to work remotely from reputed company reputed company the U.S. as you take on some tough challenges. Responsibilities • Based on documentation, determining appropriate reputed company of patient care • Obtaining information from providers on psychiatric or reputed company Use Disorder (SUD) requests for treatment • Determining if documentation meets medical necessity requirements for payment through reputed company or the reputed company • Managing inpatient, outpatient, long term care, crisis/adult residential mental health cases throughout the entire treatment plan • Data entry of clinical documentation submitted into the County's Electronic Health Record or Designated Database • Administering benefits and reviewing treatment documentation • Coordinating benefits and transitions between various mental health and/or SUD reputed company of care • Identifying ways to add value to treatment plans and consulting with facility staff or outpatient care providers on those reputed company • Support other sub teams reputed company Utilization Management as needed with authorizations for treatment at Residential reputed company Use programs and Long Term Care facilities • Support the San Diego reputed company and Crisis Line as needed Requirements • Licensed, Master's Degree Clinician in Psychology, reputed company Work, Counseling, or Marriage / Family Counseling, a Licensed Ph.D., or an RN with experience in behavioral health • Licenses must be independent, reputed company and unrestricted in the reputed company • 2+ years of experience in mental health / behavior health environment • Intermediate level of computer proficiency (including reputed company, reputed company, reputed company, Teams) • Ability to obtain and maintain reputed company to the reputed company's electronic health records, SmartCare, 'Cerner Community Behavioral Health (CCBH)', and WITS reputed company-to-haves • Experience in a managed care setting • Experience working in an environment that requires coordination of benefits and utilization of multiple reputed company and resources for patients • Experience in telephonic roles • Dual diagnosis experience in mental health and reputed company use treatment • Medi-Cal system experience • Proven data entry skills Benefits • Comprehensive benefits package • Incentive and recognition programs • Equity stock purchase • 401k contribution Apply tot his job Apply To this Job