![AmeriHealth Caritas](https://media.trabajo.org/img/noimg.jpg)
Medical Director Behavioral Health
2 months ago
Your career starts now. We are looking for the next generation of health care leaders.
At AmeriHealth Caritas, we are passionate about helping people get care, stay well and build healthy communities. As one of the nation's leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together we can build healthier communities. If you want to make a difference, we would like to connect with you.
Headquartered in Newtown Square, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services.
Discover more about us at www.amerihealthcaritas.com.
Position Summary:
Provide organizational leadership in the operational areas of care management, utilization review, appeals, quality improvement and related policy and practice initiatives related to Behavioral Health in collaboration with the Corporate Medical Director, Behavioral Health.
The following responsibilities are in regard to working with members diagnosed with mental illness and substance abuse conditions and their providers:
Utilizes evidence-based standards in making coverage determinations
Identifies and implements evidence-based practice guidelines throughout the provider network
Monitors the quality of clinical care provided by in network and non-network providers
Utilizes a high-performing medical management system that adheres to the terms of contracts and all relevant regulatory requirements. ;
; Accountabilities:
;Ensures the provision of quality and clinically sound behavioral health care services to all members by associates and providers
;Serves as medical advisor ;for all behavioral health clinically related activities
;Assures that organizations medical policies and procedures adhere to contractual obligations;
;Performs clinical case reviews in conjunction with Medical Excellence Department responsible for HEDIS performance
;Maintains familiarity with federal, state and local regulations that may pertain to the medical and clinical operations
;Supports leadership in the development and implementation of medical policy as it relates to behavioral health management
;Maintains compliance with applicable regulatory guidelines, AmeriHealth Caritas clinical policies and procedures, and contractual obligations
;Works closely with a multidisciplinary team to ensure behavioral health management and quality management programs are meeting contractual obligations
;Works with the leadership of the Quality Improvement and Medical Excellence departments to develop competent clinical staff
;Trains staff on behavioral health-related issues and provide consultation to staff as appropriate
; Assists IHC Managers in assessing members’ need for case management services
; Attends case management meetings and monthly rounds as scheduled
; Collaborates with the integrated case management team, during scheduled meetings and informally as needed
; Thoroughly documents all care coordination activity in the member medical record in the electronic medical management system
; Adheres to AmeriHealth Family of Companies (ACFC) policies and procedures and supports and carries out the ACFC mission and values
; Other duties as assigned.;;
Experience/Education
Board certified psychiatrist licensed in the State or ability to be licensed in Florida.;
Physician licensed to practice medicine and board-certified in either general psychiatry or child psychiatry
5-10 years practical clinical experience combined experience in a Behavioral Health Clinical setting required
Must not be prohibited from participating in any Federally or State funded healthcare programs
Must be clear of any sanctions by the applicable state or Office of the Inspector General
Diversity, Equity, and Inclusion
At AmeriHealth Caritas, everyone can feel valued, supported, and comfortable to be themselves. Our commitment to equity means that all associates have a fair opportunity to achieve their full potential. We put these principles into action every day by acting with integrity and respect. We stand together to speak out against injustice and to break down barriers to support a more inclusive and equitable workplace. Celebrating and embracing the diverse thoughts and perspectives that make up our workforce means our company is more vibrant, innovative, and better able to support the people and communities we serve.
We keep our associates happy so they can focus on keeping our members healthy.
Our Comprehensive Benefits Package
Flexible work solutions including remote options, hybrid work schedules, Competitive pay, Paid time off including holidays and volunteer events, Health insurance coverage for you and your dependents on Day 1, 401(k) Tuition reimbursement and more.
#J-18808-Ljbffr
We have other current jobs related to this field that you can find below
-
Lead Behavioral Health Technician
4 weeks ago
Palm Beach, United States Banyan Medical Systems Full timeSeaside Palm Beach, a proud addition to Banyan Treatment Centers, is recruiting a full-time Lead Behavioral Health Technician (BHT) to join the Operations team in Palm Beach Shores, FL. This position requires at least 1 year of work experience as a Lead BHT.Position Details: Schedule: Shift and scheduled days to be developed with management Location: On-site...
-
Behavioral Health Care Manager
2 months ago
Palm Beach Gardens, United States AmeriHealth Caritas Full timeBehavioral Health Care Manager Location: Palm Beach Gardens, FL Primary Job Function: Behavioral Health ID**: 31536 Job Brief Qualified applicants should reside in AHCA Regions G & I (Palm Beach & surrounding counties & Miami-Dade & Monroe counties). Also AHCA Regions D & E (Tampa & Orlando Metros). Your career starts now. We are looking for the next...
-
Director, Behavioral Health
3 months ago
West Palm Beach, United States Wellspring Search Partners Full timeOverview About the C. L. Brumback Primary Care Clinics Our 10 Federally Qualified Health Centers across the county serve adults and children with or without insurance and regardless of ability to pay. We also operate three mobile clinics that provide medical services for the homeless and the underserved. In 2022, we served 39,000 unique adult and...
-
Manager Behavioral Health
3 months ago
West Palm Beach, United States FoundCare Inc Full timeJob DescriptionJob DescriptionPRIMARY PURPOSE:The Manager Behavioral Health is a Licensed Practitioner of the Healing Arts (LCSW, LMHC or LMFT) who is responsible for oversight of clinical staff (such as Behavioral Health Practitioners and Peer Support Specialists) as it relates to: professional development; on-site training; day-to-day management,...
-
Behavioral Health Technician
4 months ago
Ormond Beach, United States Promises Behavioral Health, LLC Full timeJob DescriptionJob DescriptionPosition SummaryThe Behavioral Health Technician (BHT) provides oversight and support services to clients and staff in a residential treatment facility for adults with co-occurring diagnoses. BHT are responsible for around-the-clock supervision of the client milieu and helping to create and maintain a therapeutic milieu for...
-
Behavioral Health Technician
2 months ago
North Palm Beach, United States Argon Agency Full timeBenefits: Dental insurance Health insurance Paid time off Training & development Vision insurance The Behavioral Health Technician (BHT) acts as a professional representative of the treatment team and observes patient activities. The BHT maintains a visible presence on the clients at the treatment center, community housing, and outside activities. The BHT...
-
Behavioral Health Technician
3 months ago
North Palm Beach, United States Argon Agency Full timeJob DescriptionJob DescriptionBenefits:Dental insuranceHealth insurancePaid time offTraining & developmentVision insurance The Behavioral Health Technician (BHT) acts as a professional representative of the treatment team and observes patient activities. The BHT maintains a visible presence on the clients at the treatment center, community housing, and...
-
Behavioral Health Technician
3 weeks ago
North Palm Beach, United States Argon Agency Full timeJob DescriptionJob DescriptionBenefits:Dental insuranceHealth insurancePaid time offTraining & developmentVision insurance The Behavioral Health Technician (BHT) acts as a professional representative of the treatment team and observes patient activities. The BHT maintains a visible presence on the clients at the treatment center, community housing, and...
-
Behavioral Health Tech
6 days ago
West Palm Beach, United States Health Care District of Palm Beach County Full timeOverview The Behavioral Health Technician (BHT) is responsible for the well-being of our Clinic patients who struggle with a variety of addiction and behavioral problems. The BHT works closely with patients and medical staff, assisting in the areas of medication observation, and medical appointment scheduling. They observe and document patient behavior,...
-
Behavioral Health Technician
2 months ago
West Palm Beach, United States Health Care District of Palm Beach County Full timeOverview The Behavioral Health Technician (BHT) is responsible for the well-being of our Clinic patients who struggle with a variety of addiction and behavioral problems. The BHT works closely with patients and medical staff, assisting in the areas of medication observation, and medical appointment scheduling. They observe and document patient behavior,...
-
West Palm Beach, United States i4 Search Group Healthcare Full timeJob DescriptionJob DescriptionDirector of Behavioral Health Registered Nurse (RN)POSITION TYPE: Registered Nurse (RN) - DirectorSPECIALTY UNIT: Behavioral HealthLOCATION: West Palm Beach, FL SHIFT: DayJOB TYPE: Full-Time PermanentJob Summary:We are in search of a professional and passionate Director of Behavioral Health who will provide leadership for...
-
Director, Behavioral Health
4 weeks ago
West Palm Beach, FL, United States Wellspring Search Partners Full timeOverview About the C. L. Brumback Primary Care Clinics Our 10 Federally Qualified Health Centers across the county serve adults and children with or without insurance and regardless of ability to pay. We also operate three mobile clinics that provide medical services for the homeless and the underserved. In 2022, we served 39,000 unique adult and...
-
Behavioral Health Technician
3 months ago
West Palm Beach, United States i-Kare Treatment Center Full timeJob DescriptionJob DescriptionOur Company is seeking an EXPERIENCED Behavioral Health Technician (BHT).Our ideal candidate will; go the extra mile, be a team player, have prior medical and substance abuse experience providing client-care services in a behavioral healthcare setting, must be a detailed oriented individual with at least two years of experience....
-
Behavioral Health Technician
3 months ago
West Palm Beach, United States i-Kare Treatment Center Full timeJob DescriptionJob DescriptionBenefits:Opportunity for advancementPaid time offTraining & development Our Company is seeking an EXPERIENCED Behavioral Health Technician (BHT).Our ideal candidate will; go the extra mile, be a team player, have prior medical and substance abuse experience providing client-care services in a behavioral healthcare setting, must...
-
Behavioral Health Technician
3 weeks ago
West Palm Beach, United States i-Kare Treatment Center Full timeJob DescriptionJob DescriptionOur Company is seeking an EXPERIENCED Behavioral Health Technician (BHT).Our ideal candidate will; go the extra mile, be a team player, have prior medical and substance abuse experience providing client-care services in a behavioral healthcare setting, must be a detailed oriented individual with at least two years of experience....
-
Behavioral Health Technician
3 weeks ago
West Palm Beach, United States i-Kare Treatment Center Full timeJob DescriptionJob DescriptionBenefits:Opportunity for advancementPaid time offTraining & development Our Company is seeking an EXPERIENCED Behavioral Health Technician (BHT).Our ideal candidate will; go the extra mile, be a team player, have prior medical and substance abuse experience providing client-care services in a behavioral healthcare setting, must...
-
Assistant Medical Director
3 weeks ago
Palm Beach, United States Sollis Health Full timeAs an Assistant Medical Director of our Palm Beach at Sollis Health you will oversee our Flagship location. You will bring your talent and ambition for emergency medicine and provide clinical care and administrative leadership in our 24/7 concierge medical center where we treat both adult and pediatric patients for cases that would usually be treated either...
-
Assistant Medical Director
3 months ago
Palm Beach, United States Sollis Health Full timeJob DescriptionJob DescriptionAs an Assistant Medical Director of our Palm Beach at Sollis Health you will oversee our Flagship location. You will bring your talent and ambition for emergency medicine and provide clinical care and administrative leadership in our 24/7 concierge medical center where we treat both adult and pediatric patients for cases that...
-
Behavioral Health Technician Swing Shift
4 weeks ago
Newport Beach, United States True Behavioral Health LP Full timeJob DescriptionJob DescriptionThe Behavioral Health Technician will provide care and services at the detox and residential levels of care. They will help the Health Care Practitioner and LVNs by carrying out patients’ treatment plans. The Behavioral Health Technician will be responsible to provide safe, effective, and efficient implementation of direct...
-
Medical Partnerships Director
1 month ago
Palm Beach, United States Sollis Health Full timeWe are looking for a Director of Medical Partnerships to join our team in South Florida, specifically Palm Beach and Boca Raton. This position reports directly to the VP of Medical Partnerships. This individual will be responsible for achieving sales goals, establishing relationships with medical and marketing partners, and building an external medical...