Behavioral Actions Examples Jobs in Usa

6,702 positions found — Page 6

Behavioral Health Specialist
✦ New
Salary not disclosed
Wayne, Michigan 9 hours ago

Job Title: Field Care Manager – Behavioral Health (Social Worker)

Locations: Wayne or Macomb County, MI

Field Care Manager – Behavioral Health

Become part of our client's compassionate community and help put health first. As a Field Care Manager – Behavioral Health, you'll be the steady hand and the guiding voice for members navigating behavioral health challenges. You'll assess needs, craft care plans with care, and connect individuals to the resources that genuinely move the needle.

This role is remote with 25% local travel to visit members in Wayne and Macomb Counties, Michigan.

What You'll Do

  • Manage a caseload and conduct behavioral health assessments in members' homes, community spaces, or by phone.
  • Develop and coordinate individualized care plans that address the full picture: physical, social, and behavioral.
  • Partner with interdisciplinary care teams (ICT), physicians, and caregivers to ensure members receive consistent, appropriate support.
  • Help members break down barriers to care—whether that's housing, transportation, benefits access, or simply knowing where to start.
  • Serve as the member's anchor: the main point of contact and advocate for steady, sustainable health outcomes.

Plus:

  • 2+ years of clinical behavioral health experience.
  • Experience working with adult populations, care coordination, and community health resources.
  • Strong communication, documentation, organizational, and computer skills (MS Office proficiency required).
  • Ability to travel locally (25%) throughout Wayne or Macomb County.
  • A private home workspace with secure internet access — quiet, steady, reliable.

Preferred

  • Master's level Social Work license (LMSW/LCSW).
  • Experience in managed care, Medicaid Long-Term Care, or in-home care coordination.
  • Language skills in Spanish, Arabic, or Chaldean Neo-Aramaic.
  • Familiarity or certification in Motivational Interviewing.

What they will be doing/ working on:

This person will be helping patients manage their health and social needs. They'll visit members at home or in the community, assess their situation, and create care plans to connect them with the right services (like medical care, housing, or social support). They'll also coordinate with doctors, caregivers, and other team members to make sure each patient gets the right help and support to stay healthy and independent

Must Have Skills:

  • LICENSED SOCIAL WORKER (Michigan license)-MUST HAVE, NON-NEGOTIABLE
  • LMSW (Licensed Master Social Worker) or LCSW (Licensed Clinical Social Worker
  • Minimum of 2 years of post-degree clinical experience in behavioral health setting
  • Michigan State licensure in field of study
  • Ability to travel to region-based facilities and homes for face-to-face assessment
  • Experience working with the adult population, disease management.
  • Knowledge of community health and social service agencies and additional community resources
  • Valid driver's license, car insurance, and access to an automobile.

Location & Milage Reimbursement:

  • MUST LIVE IN MICHIGAN. M-F 8AM-5PM (40 hours a week)
  • This position will be based from a home office and will travel 25% of the time, to an assigned area in Wayne or Macomb County within Michigan, to conduct in home visits with Medicare/Medicaid members.
  • NOTE: REIMBURSEMENT FOR MILAGE: FIRST 50 AND LAST 50 MILES-DOES NOT COVER FROM HOUSE TO FIRST APPT OR LAST APPT TO THEIR HOME (Update: Effective January 1, 2026, mileage to their first visit of the day and from their last visit of the day will be reimbursable and should be added to their regular expenses).
Not Specified
Licensed Behavior Analyst
Salary not disclosed
Livonia, MI 6 days ago

Company Description

Bluestone Children's Center is a privately-owned, community-focused program that specializes in Applied Behavior Analysis (ABA) therapy for children diagnosed with autism. The center provides evidence-based treatment in a supportive and child-friendly preschool environment while emphasizing a "whole family" approach to care. Committed to being a part of each family's support network, Bluestone assists caregivers at every step to help children achieve the best possible outcomes. Bluestone's services are designed to empower families and ensure a positive treatment experience for both children and their caregivers.


Role Description

The Licensed Behavior Analyst (LBA) will create and implement individualized behavior intervention plans for children diagnosed with autism. Responsibilities include conducting functional behavior assessments, analyzing data to monitor progress, training and supporting Registered Behavior Technicians (RBTs), and collaborating with parents to provide education and guidance. This is a part-time, on-site role located in Livonia, MI.


Qualifications

  • Strong expertise in Behavior Analysis and Applied Behavior Analysis (ABA) practices
  • Experience in Parent Education and Behavior Management
  • A solid understanding of principles in Psychology, particularly as it applies to children with autism
  • Board Certified Behavior Analyst (BCBA) certification is required
  • Strong verbal and written communication skills
  • Ability to work collaboratively with families and interdisciplinary teams
  • Prior experience working with young children in clinical, school, or similar settings is an asset


Benefits

  • 20 days PTO
  • 6 paid holidays
  • Company Amazon spending account with monthly stipend
  • Private office
  • Minimum billable starts at 20 hours/week
  • No evenings/weekends
  • Compensation $66,500-$89,500
  • On-site collaboration with Speech, OT, and PT


Not Specified
Integrated Behavioral Health Clinician
🏢 Optum
Salary not disclosed
Cookeville, TN 5 days ago

Hybrid role embedded in primary care, Monday through Friday, no weekends or holidays.


Optum Behavioral Care is seeking a licensed clinician to join our Collaborative Care Model (CoCM) team, embedded within Summit Medical Group primary care clinics in Cookeville and Crossville, Tennessee. This is a hybrid role with one to two remote days per week and the remaining days onsite in clinic.


This role is ideal for clinicians who value team‑based care, predictable schedules, and meaningful patient impact without practicing in isolation.


What this role offers

• Hybrid schedule with remote flexibility

• Monday through Friday daytime hours

• No weekends or holidays

• Embedded within primary care alongside medical providers

• Strong clinical and operational support from Optum Behavioral Care

• Opportunity to practice brief, evidence‑based care in an integrated model


About the role

As an Integrated Behavioral Health Clinician, you will serve as a core member of a collaborative care team, working closely with primary care providers and psychiatric consultants to support patients with mild to moderate behavioral health needs.


You will provide short‑term, solution‑focused interventions, monitor treatment progress, and help patients build sustainable self‑management strategies. This role blends in‑person and virtual care, allowing you to focus on clinical work while being supported by a larger care infrastructure.


Primary responsibilities

• Provide brief, evidence‑based behavioral health interventions using modalities such as CBT, behavioral activation, problem‑solving treatment, and motivational interviewing

• Screen and assess patients for common mental health and substance use conditions

• Coordinate care with primary care providers and psychiatric consultants

• Track patient progress using measurement‑based care

• Support medication adherence and monitor treatment response

• Participate in regular psychiatric case consultations

• Develop relapse prevention and self‑management plans for patients nearing discharge


Required qualifications

• Active Tennessee license: LCSW, LPC‑MHSP, LMFT, or LMSW

• 3 or more years of experience treating behavioral health conditions

• At least 1 year of experience in a medical, primary care, or integrated care setting

• Experience using evidence‑based, brief interventions


Preferred qualifications

• Experience working within the Collaborative Care Model

• Strong organizational and follow‑up skills

• Comfort working both in person and via telehealth

• Ability to adapt to technology‑enabled care models

• Collaborative communication style with medical teams


The salary range for this role is $60,000 to $76,000 annually based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.


About Optum

Optum is a clinician‑led care organization focused on improving the health system and helping people live healthier lives. At Optum Behavioral Care, clinicians are supported, connected, and empowered to practice at the top of their license within innovative care models.

UnitedHealth Group is an Equal Employment Opportunity employer and a drug‑free workplace.

Not Specified
Youth Residential Technician - Behavioral Health - Carrier Clinic - PT Days with Benefits
Salary not disclosed
BELLE MEAD, NJ 4 days ago
Description:

Our team members are the heart of what makes us better. At Hackensack Meridian Health we help our patients live better, healthier lives — and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It’s also about how we support one another and how we show up for our community. Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change.

 

Carrier Clinic, a behavioral health system, has been a trusted source of compassionate help and supportive healing for patients and their families since we opened our doors in 1910.

 

Hackensack Meridian Health Carrier Clinic’s East Mountain Youth Lodge provides a continuum of out of home residential treatment services for adolescents between the ages of 13-18. We provide 24 hour clinical, therapeutic treatment for emotional, behavioral, psychiatric and substance abuse difficulties based on the resident strengths and needs.


Responsibilties:

1. Directly supervises and knows the whereabouts of every resident they are assigned. 2. Supervises, observes, and participates with residents in the carrying out of the daily routine (i.e. chores). Consistently implements all program procedures (i.e. point systems, level systems).

3. Runs activity, support and recreation groups with guidance from clinical staff. Organizes, supervises and conducts planned activities for groups and individuals. Provides assistance to residents in the planning of appropriate recreational activities.

4. Serves as a primary counselor for an assigned number of residents.

5. Assists residents in learning home management skills (cooking, cleaning, etc). Teaches residents about the importance of cleanliness, good nutrition, meal planning, prudent buying, etc., while guiding them in learning skill mastery.

6. Corrects client behavior by administering reasonable and fair disciplinary measures when necessary. Ensures each resident is informed of the rules and regulations of the program.

7. Provides crisis intervention to residents as needed. Assists in escorts and personal restraints of agitated residents. Attentive to building security and performs such checks as designed by the program.

8. Conducts resident room checks and room searches as designed by the program.

9. Carries a beeper for one week in rotation. Is on-call and ready to respond to staff shortages by calling and locating a replacement and/or filling the shift him/herself.

10. Inspects and handles belongings and valuables of residents to ensure that prohibited material is not brought into the Lodge at admission, upon return from pass, or as clinically indicated, under the direction of a Shift Leader.

11. Assists residents with daily living activities (i.e.; waking up, hygiene, cleaning room, participating in structure, behaving appropriately on activity).

12. Provides input to administration members regarding unit-based PI measures based on concerns, high risk, high volume issues.

13. Ensures that paperwork is completed accurately and within procedural time limits. 14. Other duties and/or projects as assigned.

15. Adheres to HMH Organizational competencies and standards of behavior.


Qualifications:

Education, Knowledge, Skills and Abilities Required:

  • Co-Occurring (Wolf), RTC (Eagle, Butterfly) Will have one of the following qualifications: (1) High School diploma, general equivalency diploma (GED), and/or GED equivalent programs with one year of experience working with youth in a group setting. (2) An Associate's or Bachelor's Degree from an accredited college or university in a field that is unrelated to social work or psychology with six months of experience working with youth in a group setting. (3) An Associate's or Bachelor's Degree from an accredited college or university in social work, psychology, or a related field.
  • PCH (Lotus, Sunflower) Bachelor's Degree or High School diploma, general equivalency diploma (GED), and/or GED equivalent programs, with three or more years of experience providing direct care to youth in a behavioral health agency or institutional setting
  • IRTS Level of Care (Swan) Bachelor's Degree, or equivalent, with one year of experience providing direct care to youth in a behavioral health agency or institutional setting.
  • Complete Shift Leader and Medication Administration training.
  • Maintains standards of confidentiality
  • Excellent written and verbal communication skills.
  • Proficient computer skills that may include but are not limited to Microsoft Office and/or Google Suite platforms.

 

Licenses and Certifications Required:

  • Valid Driver's License from a USA state within 3 years of entering position. 

If you feel that the above description speaks directly to your strengths and capabilities, then please apply today!

temporary
Behavior Intervention Specialist
Salary not disclosed
Caldwell, Idaho 3 days ago
School-Based Behavioral Interventionist

Location: Caldwell, Idaho
Schedule: School-Based | Daytime Hours
Pay:$30-$32/Hour
A Role That Supports Student Growth and Success
At Care Options for Kids, our school-based Behavioral Interventionists play a vital role in helping students build positive behaviors, strengthen social skills, and succeed academically. This role is designed for professionals who are patient, proactive, and passionate about supporting students in a structured school environment.
In this position, you'll work directly with students to implement individualized behavior intervention plans, monitor progress, and collect data to guide instruction. You'll collaborate closely with teachers, school staff, and families to ensure consistent strategies across settings and help create supportive, predictable learning environments.
If you're looking for a school-based role where your work directly supports student success and you're part of a collaborative, mission-driven team, this position was designed with you in mind.
Care Options for Kids Benefits

* $30-$32/Hour

* Competitive pay with opportunities for growth

* Ongoing training and professional development

* Mentoring program and paid training

* Referral bonus opportunities

* Employee Assistance Program (EAP) supporting mental, emotional, and physical health

Support That Helps You Succeed in Schools

* Collaborative school-based team environment

* Clear behavior intervention plans aligned with IEPs

* Ongoing guidance from consultants and clinical leadership

* Structured expectations that support consistency, safety, and student progress

Requirements

* Minimum 2 years of experience working with children, preferably with special needs

* Bachelor's degree in a related field

* Ability to work effectively within a team and apply proactive problem-solving strategies

* Strong documentation and data-collection skills

* Ability to respond to and manage crisis situations as outlined in IEPs

* Ability to lift up 50 pounds and safely manage physical behaviors as needed

Application Open Through: 3/31/2026
Care Options for Kids is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.
#RDSBSID
Not Specified
Youth Residential Technician - Behavioral Health - Carrier Clinic - PT Days with Benefits (BELLE MEAD)
✦ New
🏢 Hackensack Meridian Health
Salary not disclosed
Description:

Our team members are the heart of what makes us better. At Hackensack Meridian Health we help our patients live better, healthier lives — and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It's also about how we support one another and how we show up for our community. Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change.

Carrier Clinic, a behavioral health system, has been a trusted source of compassionate help and supportive healing for patients and their families since we opened our doors in 1910.

Hackensack Meridian Health Carrier Clinic's East Mountain Youth Lodge provides a continuum of out of home residential treatment services for adolescents between the ages of 13-18. We provide 24 hour clinical, therapeutic treatment for emotional, behavioral, psychiatric and substance abuse difficulties based on the resident strengths and needs.

Responsibilties:

1. Directly supervises and knows the whereabouts of every resident they are assigned. 2. Supervises, observes, and participates with residents in the carrying out of the daily routine (i.e. chores). Consistently implements all program procedures (i.e. point systems, level systems).

3. Runs activity, support and recreation groups with guidance from clinical staff. Organizes, supervises and conducts planned activities for groups and individuals. Provides assistance to residents in the planning of appropriate recreational activities.

4. Serves as a primary counselor for an assigned number of residents.

5. Assists residents in learning home management skills (cooking, cleaning, etc). Teaches residents about the importance of cleanliness, good nutrition, meal planning, prudent buying, etc., while guiding them in learning skill mastery.

6. Corrects client behavior by administering reasonable and fair disciplinary measures when necessary. Ensures each resident is informed of the rules and regulations of the program.

7. Provides crisis intervention to residents as needed. Assists in escorts and personal restraints of agitated residents. Attentive to building security and performs such checks as designed by the program.

8. Conducts resident room checks and room searches as designed by the program.

9. Carries a beeper for one week in rotation. Is on-call and ready to respond to staff shortages by calling and locating a replacement and/or filling the shift him/herself.

10. Inspects and handles belongings and valuables of residents to ensure that prohibited material is not brought into the Lodge at admission, upon return from pass, or as clinically indicated, under the direction of a Shift Leader.

11. Assists residents with daily living activities (i.e.; waking up, hygiene, cleaning room, participating in structure, behaving appropriately on activity).

12. Provides input to administration members regarding unit-based PI measures based on concerns, high risk, high volume issues.

13. Ensures that paperwork is completed accurately and within procedural time limits. 14. Other duties and/or projects as assigned.

15. Adheres to HMH Organizational competencies and standards of behavior.

Qualifications:

Education, Knowledge, Skills and Abilities Required:

  • Co-Occurring (Wolf), RTC (Eagle, Butterfly) Will have one of the following qualifications: (1) High School diploma, general equivalency diploma (GED), and/or GED equivalent programs with one year of experience working with youth in a group setting. (2) An Associate's or Bachelor's Degree from an accredited college or university in a field that is unrelated to social work or psychology with six months of experience working with youth in a group setting. (3) An Associate's or Bachelor's Degree from an accredited college or university in social work, psychology, or a related field.
  • PCH (Lotus, Sunflower) Bachelor's Degree or High School diploma, general equivalency diploma (GED), and/or GED equivalent programs, with three or more years of experience providing direct care to youth in a behavioral health agency or institutional setting
  • IRTS Level of Care (Swan) Bachelor's Degree, or equivalent, with one year of experience providing direct care to youth in a behavioral health agency or institutional setting.
  • Complete Shift Leader and Medication Administration training.
  • Maintains standards of confidentiality
  • Excellent written and verbal communication skills.
  • Proficient computer skills that may include but are not limited to Microsoft Office and/or Google Suite platforms.

Licenses and Certifications Required:

  • Valid Driver's License from a USA state within 3 years of entering position.

If you feel that the above description speaks directly to your strengths and capabilities, then please apply today!

temporary
Behavior Technician - Immediate Start
Salary not disclosed
Loomis, California 4 days ago
Job Description

Limited Positions - Now hiring for the 2025-2026 school year.
We are hiring full-time Behavior Technicians (TAs) for the 2025-2026 school year to support K-12 students with special needs. If you have experience in behavior management and a desire to help students succeed, this role offers a chance to make a daily impact.

Connect with our team today to learn more about this school-based opportunity!
As a SPED Behavior Technician (TA), you will be instrumental in crisis intervention when needed, de-escalating situations, and teaching students self-regulation skills, all while maintaining a calm and professional demeanor.
Responsibilities:

* Assisting the classroom teacher to maintain a safe learning environment
* Provide one-on-one or small group assistance to students with special needs, reinforcing lessons and implementing IEPs to achieve goals
* Assist in compiling classroom communications including supporting with differentiation for different children’s needs
* Assist with classroom management, redirecting behavior, and implementing behavior management plans
* Facilitate interactions between students with disabilities and their peers, teaching and modeling strategies for positive interaction
* Use a variety of learning methods to enhance the student learning experiences and support them as needed
* Support with personal care or hygiene as needed, including toileting, feeding, and dressing

Required Qualifications:

* 60 credits or an Associate's Degree
* Experience working with children with special educational needs
* Experience working with personal care
* Passion for working within special education
* U.S. work authorization (Zen Educate cannot provide sponsorship for an employment visa or relocation assistance at this time)
* Applicants must be professionally proficient in English

Physical Requirements:

* Comfortable being on your feet and moving around the classroom throughout the day
* Able to lift up to 20 lbs and safely assist students when needed (kneeling, bending, quick response)
* Additional physical requirements may be requested during your application process

Preferred Qualifications

* Past work experience in a school
* CPR and First Aid
* CPI Training

Salary
Pay: $22 - $26 per hour, paid weekly.
Schedule: Monday to Friday, within hours of 7:30 am - 3:00/4:30 pm (no weekend work).
Benefits:

* Weekly pay
* Paid Sick Leave
* 401K (certain eligibility criteria)

Why Zen
At Zen Educate, we take the time to understand your preferences, experience, and career goals, then match you with schools that fit your needs. Our personalized approach makes finding the right role faster, easier, and more rewarding.
About Zen
Zen Educate helps schools hire dedicated paraprofessionals and teaching assistants, creating smart, timely matches that support students with special education needs and strengthen school communities.

Ref: SC-HQ-TA-March2026-162
Not Specified
Behavioral Support Specialist
17 hourly
Creston, IA 3 days ago
**Please read the ENTIRE job posting before applying**

** This is an entry-level position, and no prior experience is required. Training will be provided.**

This role operates in a Home and Community-Based Services (HCBS) Setting, defined as medical, social, and supportive services for Iowans with functional, cognitive, and other physical or mental health needs (Iowa Health & Human Services). Rather than institutionalizing individuals who have these physical and mental health needs, HCBS settings provide these individuals with the opportunity to live and receive services in a way honoring to them and their abilities.

Direct Support Professionals are the heartbeat of what we do at Imagine the Possibilities empowering people to reach individual achievement across the spectrum of life. If youre passionate about empowering people to reach their goals and help them strive for more, we want you to join our team. As an integral part of the overall care team, you will collaborate with other Direct Support Professionals, Programmers, Supervisors, individuals-served, and their families to ensure the best possible care for those you serve. You will fulfill an individuals behavioral care plan by creatively strategizing the best way for each individual to reach and exceed their goals. Your innovative and impactful solutions and strategies will make the difference for those you serve.

What Winning Looks Like:

While its not a competition, we do recognize that each person wants to win at life; and youre a central part of someone elses wins as well as your own! In this role, youll be responsible to:

- Collaborate with the HCBS Supervisor and HCBS Programmer to develop goals for the individual served.
- Provide services to individuals based on their unique goals and behavioral care plan. This includes:

o Teaching individuals how to accomplish their goal (rather than completing a task for them).

o Using behavioral strategies that support individuals and address any behaviors that do not lead to their success.

o Motivate and encourage individuals to participate in their behavioral care plans and reach their goals.

o Participate in recreational, community, and social activities with those you serve, honoring the choices of the individual.

o Display and understanding of when it is appropriate to apply rights-restrictions, only as determined by the interdisciplinary team and when indicated in the individuals behavioral care plan.

- Provide complete, consistent, and accurate documentation of the individuals progress.
- Provide safe environments and instruction to individuals served regarding the practices that will help them reach their goals.
- Provide care to individuals that help them present their best selves to the community. This may include helping with hygienic needs, choosing appropriate clothing, administering medication, and ensuring they have food options suitable for their dietary needs.
- Be an advocate for individuals receiving services to have as much control over their own lives as possible. All individuals should be treated with respect and should feel empowered to live their life as independently as physically possible.

Know Were For You:

We know finding the right opportunity can be tricky thats why Imagine is focused on making sure your time is well spent. We take pride in the benefits we offer our employees. As an employee, youll have access to a variety of benefits that are sure to sweeten the deal. Depending on your full-time or part-time status, youll have access to:

- Competitive Wages: The base pay is $17/hour. With education and experience, you could start out making more than that.
- Scheduling: Were a 24/7 service provider, offering a variety of shifts and scheduling options based on program needs.
- Generous Paid Time Off (PTO): We all deserve a break now and then dont feel bad about taking time for you.
- 401k Retirement Plan: Secure your future with a cushioned fund that will allow you to live your best life.
- Comprehensive Insurance Plans: Whether its medical, dental, vision, or life insurance weve got you covered.
- Pre-Paid Legal Services: Be prepared for the things you just cant be prepared for on your own.
- Discounted Costco or Sams Club Memberships: What can we say? We know a great deal when we see one.
- Advancement Opportunities: We believe in your future, which is why we have a specifically designed leadership development opportunity purposed to launch your career.
- Employee Assistance Program: Were there for you through all lifes ups and downs.

Required

Preferred

Job Industries

- Social Services
permanent
Behavioral Health Utilization Management Medical Case Manager
Salary not disclosed
Orange, CA 3 days ago
Behavioral Health Utilization Management Medical Case Manager

CalOptima

Join Us in this Amazing Opportunity

The Team You'll Join

We are a mission driven community‐based organization that serves member health with excellence and dignity, respecting the value and needs of each person. If you are ready to advance your career while making a difference, we encourage you to review and apply today and help us build healthier communities for all.

More About the Opportunity

We are hoping you will join us as a Behavioral Health Utilization Management Medical Case Manager and help shape the future of healthcare where you'll be an integral part of our BHI ‐ BH Utilization Management team, helping to strive for excellence while we serve our member health with dignity, respecting the value and needs of each of our members through collaboration with our providers, community partners and local stakeholders. This position has been approved to be Full Telework.

- If telework is approved, you are required to work within the State of California only and if Partial Telework, also come in to the Main Office in Orange, CA, at least two (2) days per week minimum.

The Medical Case Manager (BHI Utilization Management) will be responsible for reviewing and processing requests for authorization and notification of behavioral health services from health professionals, clinical facilities and ancillary providers. You will be responsible for prior authorizations, concurrent review and related processes. You will utilize CalOptima Health's medical criteria, policies and procedures to authorize referral requests from behavioral health professionals, clinical facilities and ancillary providers. You will directly interact with providers and facilities and serve as a resource for their needs. Together, we are building a stronger, more equitable health system.

Your Contributions To the Team:

- 85% ‐ Utilization Management Services

- Participates in a mission‐driven culture of high‐quality performance, with a member focus on customer service, consistency, dignity and accountability.

- Assists the team in carrying out department responsibilities and collaborates with others to support short‐ and long‐term goals/priorities for the department.

- Reviews requests for medical appropriateness by using established clinical protocols to determine the medical necessity of the request.

- Responsible for mailing rendered decision notifications to the provider and member, as applicable.

- Screens inpatient and outpatient requests for the Medical Director's review, gathers pertinent medical information prior to submission to the Medical Director, follows up with the requester by communicating the Medical Director's decision and documents follow‐up in the utilization management system.

- Completes the required documentation for data entry into the utilization management system at the time of the telephone call or fax to include any authorization updates.

- Contacts the health networks and/or CalOptima Health Customer Service regarding health network enrollments.

- Identifies and reports any complaints to the immediate supervisor utilizing the call tracking system or through verbal communication if the issue is of an urgent nature.

- Refers cases of possible over/under utilization to the Medical Director for proper reporting.

- Completes care coordination activities as related to Transition Care Management (TCM) activities.

- Reviews International Classification of Diseases (ICD‐10), Current Procedural Terminology (CPT‐4) and Healthcare Common Procedure Coding System (HCPCS) codes for accuracy and the existence of coverage specific to the line of business.

- 10% ‐ Administrative Support

- Assists manager with identifying areas of staff training needs and maintains current data resources.

- Complies with data tracking protocols.

- 5% ‐ Other

- Completes other projects and duties as assigned.

Do You Have What the Role Requires?

- Current California unrestricted license such as LCSW, LPCC, LMFT or RN and related required education PLUS 3 years of clinical experience required; an equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying.

You'll Stand Out More If You Possess the Following:

- Utilization management reviewer experience.

- Managed care experience.

- Behavioral health clinical experience.

What the Regulatory Agencies Need You to Possess?

- Current California unrestricted license such as LCSW, LPCC, LMFT or RN.

Your Knowledge & Abilities to Bring to this Role:

- Develop rapport and establish and maintain effective working relationships with CalOptima Health's leadership and staff and external contacts at all levels and with diverse backgrounds.
- Work independently and exercise sound judgment.
- Communicate clearly and concisely, both orally and in writing.
- Work a flexible schedule; available to participate in evening and weekend events.
- Organize, be analytical, problem‐solve and possess project management skills.
- Work in a fast‐paced environment and in an efficient manner.
- Manage multiple projects and identify opportunities for internal and external collaboration.
- Motivate and lead multi‐program teams and external committees/coalitions.
- Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment.

Your Physical Requirements (With or Without Accommodations):

- Ability to visually read information from computer screens, forms and other printed materials and information.
- Ability to speak (enunciate) clearly in conversation and general communication.
- Hearing ability for verbal communication/conversation/responses via telephone, telephone systems, and face‐to‐face interactions.
- Manual dexterity for typing, writing, standing and reaching, flexibility, body movement for bending, crouching, walking, kneeling and prolonged sitting.
- Lifting and moving objects, patients and/or equipment 10 to 25 pounds

Ways We Are Here For You

- You'll enjoy competitive compensation for this role.

- Our current hiring range is: Pay Grade: 313 ‐ $90,820 ‐ $145,312 ($43.66 ‐ $69.8615).

- The final salary offered will be based on education, job‐related knowledge and experience, skills relevant to the role and internal equity among other factors.

- This position is approved for Full Telework (**If the position is Telework, it is eligible in California only**)
- A
Not Specified
Behavioral Health Tech II - Front Range
✦ New
Salary not disclosed
Broomfield, Colorado 9 hours ago
Description:

Behavioral Health Tech II

Reports to: Milieu Manager

Job Category: Hourly | Non-Exempt | Full-Time | Part-Time

Salary Range: $21.20 to $24.38 per hour

Job Site: Foundry Front Range (Broomfield)

Job Summary:

The Behavioral Health Tech II assists with providing direct patient care, possessing an intermediate level of understanding of the behaviors of clients with substance use and mental health disorders, and displaying an ability to interact in a therapeutic manner.

Education and Experience:

- High school diploma or equivalent required.
- CAT required, or must be actively pursuing and have completed 25% of CAT certification requirements.
- QMAP required, or ability to obtain within 60 days of hire.
- CPR certification required.
- 1+ year of residential behavioral health experience required.

Required Skills/Abilities:

- Valid, unrestricted Driver's License.
- Must be 21 years of age or older (in order to be eligible to drive company vehicles when required).
- Ability to assist a diverse population of clients with cultural sensitivity, dignity, respect, and compassion.
- Ability to utilize de-escalation and crisis intervention skills when needed.
- Ability to listen well, take direction, make sound decisions, and use best judgment in various situations.
- Excellent teamwork, interpersonal, and communication skills.
- Must be able to maintain personal and professional boundaries.
- Willingness to learn and have a teachable attitude.
- Strong written and verbal communication skills.
- Impeccable ethics and integrity.
- Proficient with Microsoft Office Suite or related software.
- Must be adept at quickly learning multiple computer systems and platforms.

Duties/Responsibilities:

- Assist with admits by following all steps and protocols of orientation, including conducting searches and cataloging of personal items.
- Assist in searches, inspections, checks, and investigations as part of treatment procedures.
- Align and operate within the Medical and Clinical team’s treatment plan for each client.
- Communicate and collaborate with supervisors and clinicians regarding client issues and notable progress.
- Identify emergency signals and situations and respond appropriately.
- Document client notes in appropriate systems.
- Ensure client engagement in programming and activities.
- Provide activity and appointment transportation for clients.
- Administer Urinalysis (UA) or Breath Alcohol (BA) tests as needed and document appropriately.
- Carry out CIWA, COWS and Vitals.
- Complete routine checks.
- Monitor and/or administer medications, answer questions regarding medications and use discretion with PRN requests.
- Conduct medication counts.
- Facilitate client group sessions and ensure proper documentation.
- Act as mentor to new staff who are learning and shadowing.
- Participate in shift exchange, discussing any pertinent changes in the clients’ status (clinical, medical, behavioral, etc.).
- Create and maintain a safe, comfortable, and client-focused treatment environment by using therapeutic skills.
- Maintain strict confidentiality, HIPAA, and 42CFR Part 2 compliance.
- Adhere to facility policy and procedures, State & Federal law, and accrediting agency regulations and standards.
- Other duties as assigned.

Physical Requirements:

- Prolonged periods of sitting at a desk and working/typing on a computer.
- Sit, stand, walk, bend, reach, climb steps, hear, see, speak.
- Must be able to lift 15 pounds at times.
- Driving in all weather conditions.

Benefits & Perks:

Health and Wellness

- Medical, dental and vision insurance*
- Supplemental accident and hospital indemnity coverage*
- Voluntary Term Life insurance*
- Employee Assistance Program
- Monthly wellness reimbursement*

Financial

- Competitive salary
- Employee recognition and rewards programs
- Employee referral incentive program
- Employer-sponsored 401(k) plan

Work/Life Perks

- Professional growth and development
- Continuing education reimbursement
- Unlimited paid time off (exempt employees) + sick days
- Paid time off policy (non-exempt employees) + sick days
- Paid holidays (exempt) or ability to earn 1.5x base hourly rate (non-exempt)

*Full-time employees

This description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required. Duties, responsibilities and activities may change or new ones may be assigned at any time with or without notice.

Employer accepts applications on an ongoing basis.

Requirements:

Compensation details: 21.2-24.38 Hourly Wage

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