Licensed Behavioral Health Utilization Management Clinician/Case Manager
Location: Salt Lake City, Utah
Description: Aetna is at present looking to employ Licensed Behavioral Health Utilization Management Clinician/Case Manager right now, this job will be dwelled in Utah. Further informations about this job opportunity please read the description below. Req ID: 13870BR
Candidate must be located within commuting distance to an Aetna office. Th! e work hours are in Pacific Time.POSITION SUMMARY
We are a well-established, stable company in the healthcare arena. We are successfully implementing healthcare reform mandates and are positioned as a healthcare leader. This position includes member-facing activities and allows staff to use their therapeutic skills. The strong emphasis on clinical details provides multiple opportunities to increase clinical knowledge and work with a multi-disciplinary team. We encourage individuality and creativity in this position. We offer full benefits and 401K. Once established in the position, there is possibility for a transition to work at home.
Ideal candidate brings high energy, a positive attitude and broad experience. This is a combined Utilization Review and Case Management position for behavioral health cases. Unique opportunity to develop a dual role. Utilizes clinical skills to coordinate, document and communicate all aspects of the utilization/benefit management! program for pre-admission, concurrent review, discharge plann! ing and follow-up assessment. Applies critical thinking and is knowledgeable about clinical practice guidelines.
Displays ability to collaborate with psychiatrists and other providers on behalf of members. Prefer experience with advanced motivational interviewing skills to engage members in case management for full stabilization after a BH hospitalization. Creates therapeutic and monitoring relationships with clients by phone. Strong emphasis on planning, problem-resolution and coordinating follow-up care for the members. Ability to collaborate well with multi-disciplinary team and other departments.
EDUCATION
The highest level of education desired for candidates in this position is a Master's degree.
LICENSES AND CERTIFICATIONS
Mental Health/Licensed Clinical Social Worker (LCSW), Licensed Professional Counselor (LPC), Licensed Psychologist (LP), Marriage and Family Therapist (LMFT), or Registered Nurse (RN) is required
FUNCTIONA! L EXPERIENCES
Functional -Medical Management/Behavioral Science/clinical experience/3-5 YearsFunctional -Mental Health/Behavioral Health/psych/3-5 YearsFunctional - Clinical/Medical/Concurrent review/discharge planning/1-3 Years
Functional - Medical Management/Case Management/care coordination/1-3 Years
REQUIRED SKILLS
Leadership/Collaborating for Results
Benefits Management/Maximizing Healthcare Quality
Benefits Management/Understanding Clinical Impacts
DESIRED SKILLS
Benefits Management/Encouraging Wellness and Prevention
General Business/Communicating for Impact
General Business/Consulting for Solutions
Please note that benefit eligibility may vary by position. Clickhereto review the benefits associated with this position.
Aetna does not permit the use of tobacco related products or drugs in the workplace.
Job Function: Health Care
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If you were eligible to this job, please give! us your resume, with salary requirements and a resume to Aetna.
Interested on this job, just click on the Apply button, you will be redirected to the official website
This job will be opened on: Fri, 20 Sep 2013 14:00:35 GMT
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