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Behavioral Health Clinician

Company: The Execu - Search Group
Location: Newark
Posted on: June 22, 2022

Job Description:

A health services network in New Jersey is currently seeking a new, licensed professional to join their staff as their new -Behavioral Health Clinician. In this role, the Behavioral Health Clinician will be responsible for assessing the patient's behavioral health and clinical needs -to ensure that the level of care and length of stay -of the patient are medically appropriate for inpatient stay. Responsibilities: The Behavioral Health Clinician:

  • Evaluates the necessity, appropriateness and efficiency of behavioral health -medical services and procedures provided
  • Coordinates and assists in implementation of plan for members
  • Monitors and coordinates services rendered outside of the network, as well -as outside the local area, and coordinates internally for negotiation of fees -for such services as appropriate
  • Coordinates the delivery of high quality, cost-effective care supported by -clinical practice guidelines established by the plan addressing the entire -continuum of care
  • Monitors patient's behavioral health medical care activities, regardless of -the site of service, and outcomes for appropriateness and effectiveness
  • Advocates for the member/family among various sites to coordinate resource -utilization and evaluation of services provided
  • Encourages member participation and compliance in the behavioral health -case/disease management program efforts
  • Documents accurately and comprehensively based on the standards of practice -and current organization policies
  • Interacts and communicates with multidisciplinary teams either telephonically and/or in person striving for continuity and efficiency as the -member is managed along the continuum of care
  • Evaluates care by problem solving, analyzing variances and participating in -the quality improvement program to enhance member outcomes
  • Completes other assigned functions as requested by management Qualifications:
    • 2+ years of Behavioral Health experience
    • Master's Degree in a Behavioral Health, Nursing, and/or a related field
    • Active NJS Licensed Clinical Social Worker (LCSW), Licensed Marriage & Family Therapist (LMFT), Licensed Professional Counselor (LPC), or Registered Nurse (RN)
    • Solid assessment, clinical, and documentation skills
    • Patient oriented
    • Great interpersonal skills
    • Excellent communication skills (written and verbal)
    • Strong attention to detail
    • Highly organized Desired Skills:
      • Experience in a Managed Care setting
      • Working knowledge of Case / Care Management principles
      • Working knowledge of principles of Utilization Management
      • Basic knowledge of healthcare contracts and Benefit Eligibility requirements
      • Knowledge of Hospital structures and Payment systems
      • Knowledge in the use of Intranet and Internet Applications
      • Microsoft Office Suite proficient

Keywords: The Execu - Search Group, Newark , Behavioral Health Clinician, Healthcare , Newark, New Jersey

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