Behavioral Health Specialist

3 weeks ago


Dublin, Ohio, United States quantum-health Full time
About the Role

As a Behavioral Health Specialist at Quantum Health, you will play a critical role in ensuring that our members receive the best possible care. We are seeking an experienced clinician to join our team and provide utilization management services for behavioral health and substance use disorder levels of care.

Responsibilities
  • Assess and review requests for behavioral health and substance use disorder levels of care against plan language and clinical criteria
  • Collaborate with healthcare providers to facilitate discharge planning and provide high-quality customer service to members
  • Use critical thinking and clinical knowledge to make independent determinations within established time frames
Requirements
  • Minimum 4 years' experience in a behavioral health setting
  • Experience in health management preferred
  • Strong ability to communicate effectively with patients, physician practices, and hospital facilities
Benefits
  • Estimated salary: $85,000 - $110,000 per year
  • Comprehensive benefits package, including health, vision, and dental insurance
  • Retirement plan with up to 4% employer match
  • Paid time off, holidays, and parental leave

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