Care Manager- Psychologist

Pay $65 - $68
Job Profile Summary
Authorizes and reviews utilization of psychological and neuropsychological testing services. Collects and analyzes utilization data. Provides member assistance with mental health and substance abuse issues and participates in special quality improvement projects in collaboration with the other members of the clinical team.

Job Description

• Reviews psychological and neuropsychological testing requests to ensure medical necessity and effectiveness.
• Provides telephone triage, crisis intervention and emergency authorizations.
• Provides information to members and providers regarding mental health and substance abuse benefits, community treatment resources, mental health managed care programs, and Client Services policies and procedures, and criteria.
• Interacts with the company Medical Directors and others to discuss clinical and authorization questions and concerns regarding specific cases.
• Participates in quality improvement activities, including data collection, tracking, and analysis.
• Leads or participates in activities as requested that help improve Care Center performance, excellence and culture.
• Supports team members and participates in team activities to help build a high-performance team.
  • Licensure is required for this position, specifically a current license that meets State, Commonwealth or customer-specific requirements. Applicant must be independently licensed in their state of residence and must meet Client credentialing requirements for independent professional practice.
  • Doctoral Degree in behavioral health related field.
  • Experience administering, evaluating and doing the analysis for psychological or neuropsychological testing requests. Experience writing complete psychological/neuropsychological evaluations and providing feedback to patients regarding the results and recommendations.
  • Minimum of 3 years of post degree experience in psychiatric and/or substance abuse health care setting for Care Managers with Ph.D., including utilization review.
  • Strong organizational, time management and communication skills.
  • Knowledge of utilization management procedures, mental health and substance abuse community resources and providers.
  • Knowledge of and experience in inpatient setting.
  • Knowledge of Diagnostic and Statistical Manual of Mental Disorders (Client V) or most current diagnostic edition.
  • Ability to function independently and as a team member.
  • Proficient ability with computer systems.
  • Ability to analyze specific utilization problems, plan and implement solutions that directly influence quality of care.

The job duties listed above are representative and not intended to be all-inclusive of what may be expected of an employee assigned to this job. A leader may assign additional or other duties which would align with the intent of this job, without revision to the job description.