Experienced Care Manager – Behavioral Health Treatment (BHT) – Remote Opportunity at arenaflex
Are you passionate about delivering exceptional care and making a meaningful impact in the lives of individuals and families? Do you thrive in a dynamic, mission-driven environment where collaboration and innovation are valued? If so, we invite you to join arenaflex as an Experienced Care Manager – Behavioral Health Treatment (BHT), where you will play a vital role in shaping the future of healthcare.
About arenaflex
arenaflex is a leading healthcare organization dedicated to providing comprehensive, high-quality care to our members. Our team of dedicated professionals shares a common goal: to deliver exceptional service, foster a culture of dignity and respect, and drive innovation in the healthcare sector. As a remote Care Manager, you will be part of a dynamic team that values collaboration, continuous learning, and professional growth.
Job Overview
As an Experienced Care Manager – BHT, you will oversee and evaluate Behavioral Health Treatment (BHT), including Applied Behavior Analysis (ABA) services, for eligible members. Your expertise will ensure that our members receive the highest quality of care based on medical necessity. You will work closely with our team to fulfill departmental objectives, support both immediate and long-term goals, and maintain adherence to established policies and procedures.
Key Responsibilities
• Navigate a mission-focused environment dedicated to excellence in member service and care management, demonstrating integrity and accountability.
- Collaborate effectively with team members to fulfill departmental objectives and support both immediate and long-term goals.
- Assess requests for medical appropriateness and verify referrals according to established clinical guidelines.
- Collect pertinent medical information for review by the Medical Director and communicate decisions clearly.
- Accurately document all necessary information in the utilization management system, ensuring updates on authorizations are recorded.
- Conduct thorough reviews of submitted documentation for compliance with coding (ICD-10, CPT-4, HCPCS) and coverage guidelines.
- Maintain adherence to established policies and procedures while conducting quality reviews of documents.
- Promptly notify providers and members of decisions made, ensuring timely and effective communication.
- Stay updated on federal, state, and local regulations pertaining to the BHT benefit.
- Identify potential quality concerns and report them as necessary, assisting with case audits when required.
- Participate in additional projects and responsibilities as assigned.
Required Skills
• Establish and nurture strong relationships with colleagues and external partners from diverse backgrounds.
- Work autonomously while exercising sound judgment in decision-making.
- Communicate effectively in both verbal and written formats.
- Adapt to a flexible work schedule that may include evenings and weekends.
- Exhibit strong organizational, analytical, problem-solving, and project management skills.
- Prosper in a fast-paced work environment while managing multiple tasks simultaneously.
- Inspire and motivate team members and external committees.
- Demonstrate proficiency in Microsoft Office Suite (Word, Outlook, Excel, PowerPoint) and related applications.
Qualifications
• A Master’s degree in psychology, social work, counseling, or a related field, along with a minimum of four years of experience in providing ABA or mental health services, including clinical review and treatment plan oversight.
- Current, unrestricted California license (LCSW, LPCC, LMFT, RN with BH experience, BCBA, or BCBA-D).
Career Growth Opportunities
arenaflex values your professional development and offers numerous opportunities for skill enhancement and career advancement within the healthcare sector. Our organization is committed to fostering a culture of continuous learning, where you can grow and develop your skills, expand your professional network, and take on new challenges.
Company Culture and Values
We foster a collaborative environment that emphasizes high-quality performance and member service, nurturing a culture of dignity and respect. Our team is dedicated to delivering exceptional care, and we strive to create a work environment that is inclusive, supportive, and empowering.
Networking and Professional Opportunities
In this role, you will have the chance to collaborate with a dedicated team, enhancing your professional network and skillset in the healthcare community. You will work closely with our team to develop and implement innovative solutions, share best practices, and stay up-to-date on the latest industry trends and developments.
Compensation and Benefits
• Competitive salary commensurate with experience.
- Comprehensive health, dental, and vision insurance.
- Retirement savings plan with company matching contributions.
- Generous vacation and paid time off policies.
Employment Type
Full-Time
How to Apply
If you are a motivated and compassionate individual who is passionate about delivering exceptional care, we encourage you to apply for this exciting opportunity. Please submit your application through our website, and we will be in touch to discuss your qualifications further.
Equal Employment Opportunity
arenaflex is an equal employment opportunity employer and welcomes applications from diverse candidates. We are committed to creating an inclusive work environment that values diversity, equity, and inclusion.
Contact Us
If you have any questions or would like to learn more about this opportunity, please do not hesitate to contact us. We look forward to hearing from you! [Apply Job!](https://remotejobs.trendingnewsgo.com/register-candidate/) Apply for this job