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Behavioral Health - Care Manager II - Autism - BCBA - LBA

United States of America, Virtual · Job Posted March 21, 2026

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Job Description

The Behavioral Health - Care Manager II - Autism is responsible for managing psychiatric and substance abuse or substance abuse disorder facility-based and outpatient professional treatment health benefits through telephonic or written review.

Job Responsibility

  • Manage psychiatric and substance abuse or substance abuse disorder facility-based and outpatient professional treatment health benefits through telephonic or written review
  • Use appropriate screening criteria knowledge and clinical judgment to assess member needs to ensure access to medically necessary quality behavioral healthcare in a cost effective setting in accordance with UM Clinical Guidelines and contract
  • Refer cases to Peer Reviewers as appropriate
  • Perform psychiatric and substance abuse or substance abuse disorder assessment coordination implementation case planning monitoring and evaluating to promote quality member outcomes to optimize member health benefits and to promote effective use of health benefits and community resources
  • Serve as a resource to other BH Care Managers
  • Assist with more complex cases and may participate in inter and intradepartmental teams projects and initiatives

Requirements

  • MA/MS in social work counseling or a related behavioral health field or a degree in nursing
  • Minimum of 3 years of experience with facility-based and/or outpatient psychiatric and substance abuse or substance abuse disorder treatment
  • Current active unrestricted license such as RN, LCSW, LMSW, LMHC, LPC, LBA (as allowed by applicable state laws), LMFT or Clinical Psychologist to practice as a health professional within the scope of licensure in applicable states or territory of the United States required
  • For states that do not require licensure a Board Certified Behavioral Analyst (BCBA) is also acceptable if all of the following criteria are met: performs UM approvals only, reviews requests for Applied Behavioral Analysis (ABA) services only, and there is licensed staff supervision
  • Previous experience in case management/utilization management required
  • Prior managed care experience required

What we offer

  • Merit increases
  • Paid holidays
  • Paid Time Off
  • Incentive bonus programs (unless covered by a collective bargaining agreement)
  • Medical
  • Dental
  • Vision
  • Short and long term disability benefits
  • 401(k) +match
  • Stock purchase plan
  • Life insurance
  • Wellness programs
  • Financial education resources
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