Behavioral Hlth Care Manager - VA

WellPoint is the nation's leading health benefits company serving the needs of approximately 28 million medical members nationwide.The Behavioral Health Care Manager manages psychiatric and chemical dependency facility-based and outpatient professional treatment through telephonic or written review. Primary duties may include, but are not limited to: Using appropriate screening criteria, knowledge and clinical judgment assesses patient needs and assures that medically necessary treatment is provided in a quality, cost-effective manner. The Behavioral Health Care Manager follows guidelines to refer cases to Medical Advisors. The Behavior Health Care Manager will possess and demonstrate skills in psychiatric and chemical dependency assessment, negotiation, coordination, implementation, case planning, monitoring, and evaluating; demonstrates excellent written and oral communication skills.Requires a current, unrestricted license as a Licensed Clinical Social Worker from the Commonwealth of Virginia, LPC (Licensed Professional Counselor) designation, Marriage and Family Therapist, clinical Psychologist, or RN and 3-5 years experience with facility-based and/or outpatient psychiatric and chemical dependency treatment is preferred or any combination of education and experience, which would provide an equivalent background. Previous experiences in Case Management/Utilization Review.