Behavioral Health Care Manager

Behavioral Health Care Manager / 334874

Assignment : 6 Months

Location : CUCAMONGA CA / Work Model : Hybrid

Under the direction of the Behavioral Health Supervisor, Behavioral Health Care Manager, Unlicensed SKI (Specialty Kids Intervention) is responsible for all aspects of services to IEHP members with autism, developmental disabilities, and / or intellectual disabilities and kids with special behavioral needs. Care Management is broadly defined, and can include outreach and engagement to members, coordination of care, resource linkages, working with other professionals and organizations in the community to ensure quality of care for members, seamless transitions of care, and facilitating the right care and the right time for the member. The Behavioral Health Care Manager, Unlicensed SKI will also be responsible for reviewing requests for services, applying clinical criteria, and authorizing services. This position provides critical support and guidance to the SKI team and assists members and families who are seeking services for autism and other developmental disabilities. This position ensures effective call support, case management, care coordination, and referral support.

Education & Experience

• Two (3) years required experience working successfully within a team, and experience in developing and maintaining effective relationships with both clients and coworkers is mandatory
• Significant experience in serving Autistic individuals and their families
• Master's degree from an accredited institution and ABA specialization required

Professional Certification

Possession of an active, unrestricted, and unencumbered Board-Certified Behavior Analyst (BCBA) certification issued by the Behavior Analyst Certification Board required.

Key Qualifications

Knowledge of whole health principles and of integrated principles and practices is important

Knowledge, skills and understanding about employee engagement, and the willingness to utilize best practices in this area

Deep knowledge and skills in Autism; Applied Behavioral Analysis, Special Education skills in engaging and serving families

1. Adhere to the ethical guidelines of the BACB Board.

2. Provide support to the SKI team to ensure implementation of timely processes, follow-through of calls, task completion, and case management functions.

3. Provide guidance in the realm of autism, developmental disabilities, and behavior analytic practices for the SKI team and all departments, when needed.

4. Work with BHT providers and other providers (Primary Care, Speech Therapist, etc) within the IEHP network; develop genuine and effective relationships with providers. Participate in clinical review meetings for Members regarding behavioral concerns, barriers to treatment or treatment progress, as needed.

5. The BHCM SKI BCBA will ensure treatment plans are updated, assessment results are updated, the treatment goals align to the assessment results and that goals meet medically necessary criteria. Become proficient in all electronic medical management systems (e.g. Cisco, MedHOK, HSP, Super Search and Web Portal) to assist in training of new staff members.

6. Responsible for engaging with Members to provide effective care management, both in-person and on the phone, including linkage to resources and support in transitions of care, in a manner that utilizes evidence-based approaches (such as Motivational Interviewing) that promotes collaboration between the Member and his or her medical / behavioral team / support team, facilitating member self-efficacy and self-management to improve the Member's ability to manage their own health, and all other activities associated with high quality, evidenced-based care management.

7. Participates in Health Plan staff meetings, trainings, committee meetings, or other activities as needed or as directed by Leadership Team Members.

8. Participate in other committees as needed, Interdisciplinary Care Conferences, and any other meetings as required or directed by department managers or Directors.

9. Responsible for primarily working with a caseload of Members with developmental delays.

10. In conjunction with department leadership, the BCBA is responsible for providing consultation for the non-certified / licensed team members when discussing tasks of a clinical nature.

11. Ensures documentation is accurate and in compliance with regulatory requirements and accreditation standards.

12. Perform any other duties as required to ensure Health Plan operations and department business needs are successful.

Thanks & Regards

Preeti Pandey

Sr. Technical Recruiter

Preeti.pandey@experis.com