Top 3413 Certified behavioral health case manager Jobs

ABA Behavioral Health Utilization Manager (Outpatient and Non-24 Hour Diversionary Services)
WellSense Health Plan —Remote
- $69,500 - $100,500 a year
- Full-time
- Remote
- LMFT
- Nursing
- Microsoft Excel
- Health insurance
- Dental insurance
11d
Care Manager (Remote)
CareFirst BlueCross BlueShield —Baltimore, MD
- $72,360 - $143,715 a year
- Full-time
- Remote
- Nursing
- Microsoft Excel
- RN License
- 401(k)
Physician Opportunities - Part Time
Summit Medical Consultants LLC —Colorado Springs, CO
- Up to $315,000 a year
- Part-time
- Medicine
- Skilled nursing facility
- Nursing home
- Relocation assistance
- Flexible schedule
Quick Apply
School Psychologist
Middlesex County STEM Charter School —Perth Amboy, NJ
- From $67,000 a year
- 8 hour shift
- Background check
- Classroom
- Current TB test
- Health insurance
- Dental insurance
5d
Child Psychiatrist
ChildNet Youth and Family Services —Long Beach, CA
- $210 - $230 an hour
- Part-time
- Hybrid work
- Background check
- Spanish
- Medicine
- Flexible schedule
Quick Apply
Board Certified Behavior Analyst (BCBA)
Cross River Therapy —Windsor, CO
- $80,000 - $115,000 a year
- Choose your own hours
- Hybrid work
- Background check
- Applied behavior analysis
- Management
- Mileage reimbursement
- Health savings account
Quick Apply
Adult Case Manager
Kennebec Behavioral Health —Skowhegan, ME
- From $22 an hour
- Full-time
- Background check
- Mid-level
- Driver's License
- 403(b) matching
- Health savings account
Quick Apply
11d
Board Certified Behavior Analyst (BCBA)
Cross River Therapy —Centennial, CO
- $80,000 - $115,000 a year
- Choose your own hours
- Hybrid work
- Background check
- Management
- Mid-level
- Continuing education credits
- Mileage reimbursement
Quick Apply
Stand By RN - Withdrawal Management
CODA INC —Beaverton, OR
- $44 - $46 an hour
- On call
- Nursing
- Clean driving record
- RN License
Quick Apply
Physician Opportunities
Summit Medical Consultants LLC —Colorado Springs, CO
- $300,000 - $350,000 a year
- Weekends as needed
- Medicine
- Skilled nursing facility
- Nursing home
- Health savings account
- Relocation assistance
Quick Apply
Board Certified Behavior Analyst (BCBA)
Cross River Therapy —Fort Collins, CO
- $80,000 - $115,000 a year
- Choose your own hours
- Hybrid work
- Background check
- Applied behavior analysis
- Management
- Mileage reimbursement
- Health savings account
Quick Apply
Family Nurse Practitioner
Mending Hearts, Inc. —Nashville, TN
- $100,000 - $125,000 a year
- Part-time
- Background check
- Nursing
- Current TB test
- COVID-19 protective measures
- Health insurance
Quick Apply
BCBA Clinical Supervisor
Easter Seals Southern California, Inc. —Indio, CA
- From $87,000 a year
- Full-time
- Experience working with individuals with developmental disabilities
- CPR Certification
- Microsoft Excel
- Continuing education credits
Child & Adolescent Psychiatrist - Part Time / 1 Day Week / North Carolina
Confidential —North Carolina
- $8,000 - $10,000 a month
- Full-time
- Background check
- Private practice
- Experience working with individuals with developmental disabilities
- Relocation assistance
- Health insurance
Quick Apply
11d
RN - Sunday Noc shift.
CODA INC —Beaverton, OR
- $44 - $47 an hour
- Part-time
- Nursing
- Addiction Medicine
- RN License
- Health insurance
- Dental insurance
Quick Apply
Certified Registered Nurse Practitioner (CRNP) - Behavioral Health
Limen Recovery + Wellness —Wilmington, DE
- Part-time
- Background check
- Psychiatry
- Addiction Medicine
- Health insurance
- Dental insurance
Quick Apply
2d
Clinical Psychologist / Director of Clinical Services
Project Vida Inc. —Chicago, IL
- $100,000 - $120,000 a year
- Full-time
- Background check
- Spanish
- Doctoral degree
- Health insurance
- Dental insurance
Quick Apply
Psychologist
The Arora Group —Florence, AZ
- $170,000 a year
- Background check
- Doctoral degree
- Psychiatry
Quick Apply
Psychologist
The Arora Group —Eloy, AZ
- $156,000 a year
- Background check
- Doctoral degree
- Psychiatry
- Dental insurance
Quick Apply
CAP RN / PT / Salisbury Area / Flexible Schedule
RHA Health Services, LLC —Statesville, NC
- Part-time
- Experience working with individuals with developmental disabilities
- Nursing
- RN License
- Health insurance
- Paid time off
Quick Apply

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ABA Behavioral Health Utilization Manager (Outpatient and Non-24 Hour Diversionary Services)

WellSense Health Plan -
Remote

Apply Now

Job Details

Full-time
$69,500 - $100,500 a year
11 days ago

Benefits

Health insurance
Dental insurance
Flexible spending account
Paid time off
Vision insurance
403(b)
Opportunities for advancement

Qualifications

Pre-authorization review for utilization management
Utilization management
Behavior analysis
Resource utilization in healthcare
Board Certified Behavior Analyst

Full Job Description

It’s an exciting time to join the WellSense Health Plan, a growing regional health insurance company with a 25-year history of providing health insurance that works for our members, no matter their circumstances.

Job Summary:

The Behavioral Health Utilization Manager plays a critical role in ensuring the appropriate and effective delivery of mental health and substance use disorder services. This role serves as a key clinical decision-maker, exercising independent judgment and critical thinking in the evaluation of behavioral health service requests. This position is responsible for managing complex outpatient and non-24-hour diversionary cases, applying clinical expertise to ensure appropriate, timely, and effective care. The role requires a proactive and analytical approach to service delivery, with a focus on clinical quality and compliance.

Our Investment in You:

Full-time remote work

Competitive salaries

Excellent benefits

Key Responsibilities:

Use advanced clinical judgment and critical thinking to evaluate outpatient and non-24-hour behavioral health services, determining the appropriateness of care based on individual member needs, clinical presentations, and professional standards.

Collaborate with Medical Directors when clinical complexity requires further review, ensuring decisions align with clinical best practices and organizational values.

Identify members who may benefit from enhanced care coordination or specialized interventions and initiate appropriate referrals to internal programs.

Ensure accurate, timely, and well-reasoned documentation of clinical decisions in accordance with operational standards and regulatory expectations.

Provide clear, thoughtful communication to internal and external stakeholders, helping resolve questions or concerns with clinical insight in a timely manner.

Participate in clinical rounds and interdisciplinary case discussions to support collaborative care planning and cross-functional learning.

Represent the organization with external partners, including providers and state agencies, conveying clinical insight and ensuring organizational compliance.

Monitor clinical trends for potential indicators of Fraud, Waste, and Abuse (FWA), and take appropriate action when concerns are identified.

Partner with leadership and the BH Medical Director to evaluate existing processes and support initiatives aimed at improving quality and operational efficiency.

Provide crisis intervention support using clinical judgment to de-escalate situations and assist members in stabilizing their conditions.

Uphold all organizational policies, professional standards, and compliance requirements.

Contribute to special projects and organizational initiatives as assigned by senior leadership, offering insight and subject matter expertise.

In rotation with other BH UM clinicians, provide on-call weekend and holiday support for members that are ED boarding and manage urgent authorization needs.

Potential Additional Responsibilities

Providing Network Management in collaboration with other MCEs within Massachusetts for CBHI Providers (may require some travel within Massachusetts)

Qualifications:

Educational Requirements:

Master's degree in Social Work, Psychology, Counseling, or a related Behavioral Health field or Bachelor’s degree in Nursing.

Experience:

5-7 years of experience in a health insurance environment with a focus on behavioral health.

Demonstrated expertise in utilization management and medical necessity determinations.

Preferred Qualifications:

Experience working with Child and Adolescent Behavioral Health Services and/or Substance Use Disorder Services.

Familiarity with managed care principles and regulatory compliance requirements.

Licensure and Certification:

Active, unrestricted independent licensure in MA and/or NH in one of the following: LICSW, LMHC, or LMFT or RN

For ABA UM Position Only: Must hold an active Board Certified Behavior Analyst (BCBA) credential. Additional independent licensure (LICSW, LMHC, LMFT) is preferred.

Core Competencies:

Exceptional verbal and written communication skills, with the ability to collaborate effectively across all organizational levels and with external partners.

Strong organizational and time management abilities, with a focus on meeting deadlines and managing competing priorities.

Capacity to thrive in a fast-paced environment, balancing multiple responsibilities while maintaining accuracy and efficiency.

Proficiency in Microsoft Office applications, particularly Outlook, Word, and Excel, along with experience in data management systems.

Superior analytical and problem-solving skills with a keen attention to detail.

Work Environment and Physical Demands:

Primarily remote role with periodic travel to the Charlestown, MA office for team meetings and training sessions.

Additional travel within Massachusetts may be required for individuals with CBHI Network Management expectations.

Dynamic and fast-paced work setting requiring adaptability and resilience.

Minimal physical exertion required; standard office tasks such as typing and phone use.

Consistent and reliable attendance is an essential job requirement.

Compensation Range:

$69,500 – $100,500

This range offers an estimate based on the minimum job qualifications. However, our approach to determining base pay is comprehensive, and a broad range of factors is considered when making an offer. This includes education, experience, skills, and certifications/licensure as they directly relate to position requirements; as well as business/organizational needs, internal equity, and market-competitiveness. In addition, WellSense offers generous total compensation that includes, but is not limited to, benefits (medical, dental, vision, pharmacy), merit increases, Flexible Spending Accounts, 403(b) savings matches, paid time off, career advancement opportunities, and resources to support employee and family wellbeing.

Note: This range is based on Boston-area data, and is subject to modification based on geographic location.

About WellSense

WellSense Health Plan is a nonprofit health insurance company serving more than 740,000 members across Massachusetts and New Hampshire through Medicare, Individual and Family, and Medicaid plans. Founded in 1997, WellSense provides high-quality health plans and services that work for our members, no matter their circumstances. WellSense is committed to the diversity and inclusion of staff and their members.

Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability or protected veteran status. WellSense participates in the E-Verify program to electronically verify the employment eligibility of newly hired employees.

Apply Now

Refine Your Search

certified behavioral health case manager jobs

ABA Behavioral Health Utilization Manager (Outpatient and Non-24 Hour Diversionary Services)

Care Manager (Remote)

Physician Opportunities - Part Time

School Psychologist

Child Psychiatrist

Board Certified Behavior Analyst (BCBA)

Adult Case Manager

Board Certified Behavior Analyst (BCBA)

Stand By RN - Withdrawal Management

Physician Opportunities

Board Certified Behavior Analyst (BCBA)

Family Nurse Practitioner

BCBA Clinical Supervisor

Child & Adolescent Psychiatrist - Part Time / 1 Day Week / North Carolina

RN - Sunday Noc shift.

Certified Registered Nurse Practitioner (CRNP) - Behavioral Health

Clinical Psychologist / Director of Clinical Services

Psychologist

Psychologist

CAP RN / PT / Salisbury Area / Flexible Schedule

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