Skills Required:
Qualifications Required: Masters Degree in Social Work, Psychology, Nursing or related field, plus Professional License/Certification required. Previous experience in Substance Abuse treatment services required. Excellent communication skills (verbal and written), and the ability to handle difficult situations in a professional manner required. Minimum of three years post-graduate clinical experience; or equivalent combination of education and clinically related work experience. Minimum of one-year experience working with a managed care system. Minimum of one-year experience in Behavioral Health Service Delivery System. Knowledge base in Medicaid, Medicare, and Commercial Managed Care Systems strongly preferred.

Location: Harrisburg, PA

Job Description:
Primary Job Responsibilities include Mental Health Utilization Management for Medicare Members (primarily adults with some children's as needed). Responsible for understanding the Behavioral Health Services Delivery System and access to that system., as well as knowledgebase in Mental Health and Substance Abuse Treatment. Work closely with member, member's family, and providers to determine appropriate level of care to meet treatment needs. Clinical Care Managers are responsible to ensure that treatment delivered is appropriately utilized and meets the Member's needs in the least restrictive, least intrusive manner possible. Responsible for understanding eligibility and benefit related parameters within the Medicare product.

For more information, please contact Kelly Broderick:

484-381-3129
800-251-8501- xt. 3129
kbroderick@deltatg.com

Start Date: Sep 10, 2010

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