Behavioral Health Clinician

3 days ago


Long Beach, California, United States Molina Healthcare Full time
Job Title: Behavioral Health Clinician

Molina Healthcare Services (HCS) is seeking a skilled Behavioral Health Clinician to join our team. As a key member of our multidisciplinary team, you will work closely with members, providers, and other healthcare professionals to assess, facilitate, plan, and coordinate integrated care delivery across the continuum.

Key Responsibilities:
  • Assess inpatient services for members to ensure optimum outcomes, cost-effectiveness, and compliance with state and federal regulations and guidelines.
  • Analyze clinical service requests from members or providers against evidence-based clinical guidelines.
  • Identify appropriate benefits, eligibility, and expected length of stay for requested treatments and/or procedures.
  • Conduct inpatient reviews to determine financial responsibility for Molina Healthcare and its members.
  • Process requests within required timelines.
  • Refer appropriate cases to Medical Directors and present them in a consistent and efficient manner.
  • Request additional information from members or providers in a consistent and efficient manner.
  • Make appropriate referrals to other clinical programs.
  • Collaborate with multidisciplinary teams to promote Molina Care Model.
  • Adhere to UM policies and procedures.
Requirements:
  • Master's Degree in Social Work, Psychology, or other Behavioral Health field.
  • 3+ years of Behavioral Health hospital acute care/medical experience.
  • Active, unrestricted State license in good standing, such as LCSW, LPCC, or LMFT.
  • Valid driver's license with a good driving record and reliable transportation.

Molina Healthcare offers a competitive benefits and compensation package. We are an Equal Opportunity Employer (EOE) M/F/D/V. If you are interested in applying for this position, please apply through the intranet job listing.



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