Behavioral Health Care Management Clinician

Cambia Health Solutions • Yakima, WA • 1d ago

Behavioral Health Care Management Clinician Remote within Oregon, Washington, Idaho or Utah Build a career with purpose. Join our Cause to create a person-focused and economically sustainable health care system. Who We Are Looking For: Every day, Cambia's dedicated team of clinicians are living our mission to make health care easier and lives better. As a member of the care management team, our behavioral health care management clinicians provide clinical care management to best meet the member's specific healthcare needs and to promote quality and cost-effective outcomes. You would oversees a collaborative process with the member and those involved in the member's care to assess, plan, implement, coordinate, monitor and evaluate care as needed. - all in service of creating a person-focused health. Are you an independently licensed behavioral health professional that is passionate about making a difference? Do you thrive when building therapeutic relationships that empower others on their health journey? Are you passionate about breaking down healthcare barriers and creating more accessible mental health support? Then this role may be the perfect fit. What You Bring to Cambia: Qualifications:

Master's Degree in Behavioral Health Discipline

Must have 3 years direct behavioral health clinical experience as an independently licensed Master's level Behavioral Health Clinician (no associate or interns) in one of the areas of Psychology, Counselling, Social Work, or Marriage and Family Therapy (LICSW, LCSW, LMHC, LPC and LMFT). Clinical License must be unrestricted and current in state of residence

CCM preferred or ability to obtain

Skills and Attributes:

Knowledge of health insurance industry trends, technology and contractual arrangements.

General computer skills (including use of Microsoft Office, Outlook, internet search).

Familiarity with health care documentation systems.

Strong oral, written and interpersonal communication and customer service skills.

Ability to interpret policies and procedures, make decisions, and communicate complex topics effectively.

Strong organization and time management skills with the ability to manage workload independently.

Ability to think critically and make decision within individual role and responsibility.

What You Will Do at Cambia:

Conducts comprehensive case management: assessment (collecting member information to identify needs), planning (setting objectives to meet needs), implementation (executing activities to achieve goals), coordination (organizing resources), and monitoring/evaluation (determining plan effectiveness).

Applies clinical expertise to ensure compliance with medical policies, necessity guidelines, and standards of care using evidence-based criteria and practicing within license scope.

Consults with physician advisors for appropriate clinical determinations and serves as a resource to internal/external customers.

Collaborates across departments to resolve claims, quality of care, and member/provider issues while identifying problems and participating in improvement efforts.

Communicates professionally with members, providers, and regulatory organizations while protecting confidential information.

Provides consistent, accurate documentation of all case activities.

Organizes and prioritizes assignments to meet performance standards, corporate goals, and deadlines.

LI-Remote

The expected hiring range for a Behavioral Health Case Management Clinician is $38.00 - $41.50 an hour depending on skills, experience, education, and training; relevant licensure / certifications; and performance history. The bonus target for thi To view the full job description,

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