NewarkRecruiter Since 2001
the smart solution for Newark jobs

Behavioral Health Clinician (Board Certified Behavioral Analyst)

Company: Horizon Blue Cross Blue Shield of New Jersey
Location: Newark
Posted on: October 13, 2019

Job Description:

Job Summary:This position is responsible for performing behavioral health duties using established guidelines to ensure appropriate level of care as well as planning for the transition to the continuum of care. Performs duties and types of care management as assigned by management.

RESPONSIBILITIES:

* Assesses patient's behavioral health clinical need against established guidelines and/or standards to ensure that the level of care and length of stay of the patient are medically appropriate for inpatient stay.

* 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 with patient, family, physician, hospital and other external customers with respect to the appropriateness of care from diagnosis to outcome.

* 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.

* Understands fiscal accountability and its impact on the utilization of resources, proceeding to self-care outcomes.

* 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.

EDUCATION/EXPERIENCE:

* Requires a masters in a behavioral health related field or Nursing degree

* Requires a minimum of two (2) years behavioral health clinical experience.

* Behavioral health experience, preferably in a managed care setting, strongly preferred.

ADDITIONAL LICENSING, CERTIFICATIONS, REGISTRATIONS:

* Active Unrestricted NJ LCSW, LMFT, LPC, RN License or Applied Behavior Analysis Certification Required

* Applied Behavior Analysist Certification preferred

KNOWLEDGE:

* Prefers proficiency in the use of personal computers and supporting software in a Windows based environment, including MS Office products (Word, Excel, PowerPoint) and Lotus Notes; prefers knowledge in the use of intranet and internet applications.

* Prefers working knowledge of case/care management principles.

* Prefers working knowledge of principles of utilization management.

* Prefers basic knowledge of health care contracts and benefit eligibility requirements.

* Prefers knowledge of hospital structures and payment systems.

SKILLS AND ABILITIES:

* Analytical

* Compassion

* Interpersonal & Client Relationship Skills

* Judgment

* Listening

* Planning/Priority Setting

* Problem Solving

* Team Player

* Time Management

* Written/Oral Communication & Organizational Skills

TRAVEL % (IF APPLICABLE):

* For field based positions, travel required 100%.

HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY IS AN EQUAL OPPORTUNITY/AFFIRMATIVE ACTION EMPLOYER. ALL QUALIFIED APPLICANTS WILL RECEIVE CONSIDERATION FOR EMPLOYMENT WITHOUT REGARD TO RACE, COLOR, RELIGION, SEX, NATIONAL ORIGIN, SEXUAL ORIENTATION, GENDER IDENTITY, PROTECTED VETERAN STATUS OR STATUS AS AN INDIVIDUAL WITH A DISABILITY AND ANY OTHER PROTECTED CLASS AS REQUIRED BY FEDERAL, STATE OR LOCAL LAW.

Keywords: Horizon Blue Cross Blue Shield of New Jersey, Newark , Behavioral Health Clinician (Board Certified Behavioral Analyst), Professions , Newark, New Jersey

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category
within


Other Professions Jobs


Master Electrician
Description: Seeking a Master with a passion for all phases of multidisciplinary projects and a desire to lead challenging
Company: Unstreet
Location: West Babylon
Posted on: 10/23/2019

Amazon Warehouse Team Member
Description: Shifts:--Early Morning, Day, Evening, WeekendLocation:--Hazleton Township, PAWe update job postings daily-opportunities for full-time delivery drivers vary by location.Salary:--
Company: Amazon
Location: Scranton
Posted on: 10/23/2019

Get New HVAC Work Today - Preview Leads In Your Area
Description: Over 25 million homeowners have trusted HomeAdvisor 1800Contractor to help them find quality professionals with the expertise to turn their home improvement
Company: HomeAdvisor
Location: Mount Vernon
Posted on: 10/23/2019


Nail Technician
Description: Job DescriptionWHO WE ARE Glamsquad--Beauty Pro, client and corporate team--is a community of beauty enthusiasts. We deliver on-demand beauty services to clients, empowering them to experience beauty (more...)
Company: GLAMSQUAD
Location: Hackensack
Posted on: 10/23/2019

CDL A Drivers Solo and Teams: MONEY LANES Available!
Description: br br Quick ApplyCall Now: 855 445-6365 br Class A CDL Drivers Solo and Teams br Enjoy Money Lanes with Flexible Home-time BCB Transport is offering big miles with flexible Money Lanes in your (more...)
Company: BCB Transport
Location: Cherry Hill
Posted on: 10/23/2019

Company OTR Class A Drivers
Description: br br br Company OTR Class A Drivers br Main running lanes from Iowa to Pennsylvania br br Simon s Trucking, Inc. is a family owned business that was established in 1946 with a fleet of two (more...)
Company: Simon's Trucking, Inc.
Location: Bethlehem
Posted on: 10/23/2019

CDL A Truck Driver - 1 year experience required - Bethlehem
Description: Earn 0.56 to 0.64 per mile to start.One year recent OTR experience and current CDL A license required.Safe Solo Truck Drivers Earn More at Barr-Nunn......and we are proud of it Our Solo Company Truck (more...)
Company: Barr-Nunn Transportation
Location: Bethlehem
Posted on: 10/23/2019

Get New Plumbing Work Today - Preview Leads In Your Area
Description: Over 25 million homeowners have trusted HomeAdvisor 1800Contractor to help them find quality professionals with the expertise to turn their home improvement
Company: HomeAdvisor
Location: Lakewood
Posted on: 10/23/2019

Damage Prevention Analyst
Description: Reference : 19-02859 Title : Damage Prevention Analyst Location : Hicksville, NY Experience Level : Start Date / End Date : 09/25/2019 / 12/31/2020 Description The successful candidate will be temporarily (more...)
Company: Crossfire Consulting
Location: Hicksville
Posted on: 10/23/2019

Truck Driver - Owner-Operator Tanker Truck Driver - Owner-Operator
Description: APPLY ONLINE BELOW OR CALL 855 548-2691 TODAY br br Take control of your small business by being an owner-operator tanker truck driver with Schneider in New Jersey. Choosing your loads with Schneider (more...)
Company: Schneider
Location: Scranton
Posted on: 10/23/2019

Log In or Create An Account

Get the latest New Jersey jobs by following @recnetNJ on Twitter!

Newark RSS job feeds