Behavioral Health Care Manager - 65409EB
WellPoint - Thousand Oaks, CA

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WellPoint is one of the nation's leading health benefits companies and a Fortune Top 50 company. At WellPoint, we are dedicated to improving the lives of the people we serve and the health of our communities. WellPoint strives to simplify the connection between health, care, and value for our customers.

Bring your expertise to our innovative, achievement-driven culture, and you will discover lasting rewards and the opportunity to take your career further than you can imagine.

Responsible for managing psychiatric and chemical dependency facility-based and outpatient professional treatment through telephonic or written review. Primary duties may include, but are not limited to: Uses appropriate screening criteria, knowledge and clinical judgment assesses patient needs and assures that medically necessary treatment is provided in a quality, cost-effective manner. Follows guidelines to refer cases to Medical Advisors as appropriate. Utilizes skills and knowledge in psychiatric and chemical dependency assessment, negotiation, coordination, implementation, case planning, monitoring, and evaluating to promote quality member outcomes, to optimize member benefits, and to promote effective use of resources. Ensures member access to medical necessary, quality behavioral healthcare in a cost effective setting according to contract. WellPoint is one of the nation's leading health benefits companies and a Fortune Top 50 company. At WellPoint, we are dedicated to improving the lives of the people we serve and the health of our communities. WellPoint strives to simplify the connection between health, care, and value for our customers.

Bring your expertise to our innovative, achievement-driven culture, and you will discover lasting rewards and the opportunity to take your career further than you can imagine.

Responsible for managing psychiatric and chemical dependency facility-based and outpatient professional treatment through telephonic or written review. Primary duties may include, but are not limited to: Uses appropriate screening criteria, knowledge and clinical judgment assesses patient needs and assures that medically necessary treatment is provided in a quality, cost-effective manner. Follows guidelines to refer cases to Medical Advisors as appropriate. Utilizes skills and knowledge in psychiatric and chemical dependency assessment, negotiation, coordination, implementation, case planning, monitoring, and evaluating to promote quality member outcomes, to optimize member benefits, and to promote effective use of resources. Ensures member access to medical necessary, quality behavioral healthcare in a cost effective setting according to contract.

WellPoint - 19 months ago - save job - copy to clipboard
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WellPoint, Inc. (WellPoint) is a health benefits company serving 35 million medical members, as of December 31, 2008. The Company is an...