Episodic Care Manager - Behavioral Health Autism Services

About the Role

Join Blue Cross and Blue Shield of North Carolina as a Episodic Care Manager - Behavioral Health Autism Services in United States.

Key Responsibilities

• Clinical Evaluation and Review Receive assigned cases for varied member services (i.

• inpatient, outpatient, DME).

• Review and evaluate cases for medical necessity against medical policy,.

Requirements

• Assess appropriateness for secondary case review by the Medical Director (MD) for denials and coordinate as needed.

• May coordinate peer-to-peer review upon provider request when members’ health conditions do not meet guidelines.

• What You Bring For Behavioral Health Autism services specific roles, BCBA licensure with a minimum of 3 years of clinical experience.

Benefits & Compensation

-, 401(k) with employer match, Paid Time Off (PTO), and competitive health benefits and wellness programs.

• Based on annual corporate goal achievement and individual performance. $73,698.00

• based conversations or interviews and never requires payment or fees from job applicants. All our career opportunities are published on https://bcbsnc. wd5. myworkdayjobs. com/en

Work Schedule

• Full-time position.

• No explicit call, weekend, or night shift information provided.

Apply to join Blue Cross and Blue Shield of North Carolina as a Episodic Care Manager - Behavioral Health Autism Services.