Manager, Behavioral Health

Blue Cross and Blue Shield of Louisiana

Louisiana, USA
Behavioral health case management
Strategic planning and implementation
Workflow analysis and documentation
This position is responsible for managing complex behavioral health inpatient and outpatient cases, prospective and retrospective review cases, claims review, accurate administration of benefits, and appeals and grievances

Job Summary

  • This position is responsible for managing complex behavioral health inpatient and outpatient cases, prospective and retrospective review cases, claims review, accurate administration of benefits, and appeals and grievances.
  • Manages multiple staff level positions by administering all HR functions, including but not limited to, hiring, terminating, conducting performance reviews, managing work schedules, managing a budget, assigning and directing workload, training and developing staff, coaching, etc.
  • We take great strides to ensure our employees have the resources to live well, be healthy, continue learning, develop skills, grow professionally and serve our local communities.

Matching Summary

This position is responsible for managing complex behavioral health inpatient and outpatient cases, prospective and retrospective review cases, claims review, accurate administration of benefits, and appeals and grievances.

Skills & Requirements

Must-have

  • Behavioral health case management
  • Strategic planning and implementation
  • Workflow analysis and documentation
  • Peer relationship development
  • System usage analysis and improvement

Nice-to-have

  • Customer and provider service programs
  • Continuous improvement initiatives
  • Member and provider satisfaction focus

Key Requirements

  • Bachelor's degree in related field
  • 5 years of behavioral health experience
  • 2 years of leadership experience
  • Strong analytical skills
  • Proficient in Microsoft Office suite

Work Rights

Not specified

Tailored Resume

Cover Letter