Job description

Job Details

Job Type

Full-time, Part-time

Boise, ID

Description

Boise office or hybrid/remote option (anywhere in Idaho, with an Idaho license)  

This position is responsible for providing utilization review activities and clinical peer reviews for all levels of behavioral health care; clinical assessment, placement, and continued stay reviews; completing mental health reviews and determining the need for further assessment; collecting and analyzing utilization data; intensive case management. This position also assists with answering crisis phone calls; provides customer support to clients, providers, and stakeholders; and participates in quality improvement projects.

BPA Health, Inc. offers an outstanding workplace culture in a business casual atmosphere and a comprehensive health and wellness benefits package, effective the first day of the month following the date of hire. Employee benefits include:

• 8 paid holidays
• 401(k) matching
• Profit-sharing
• HSA medical insurance plans
• Dental
• Vision
• Short-term and long-term disability insurance
• Infants at work program
• Life Insurance
• Office gym and meditation room
• Tuition reimbursement

Responsibilities:

• Conduct clinical assessments.
• Conduct clinical placement and continued stay reviews.
• Coordinate community-based mental health assessments.
• Perform clinical peer reviews.
• Intensive Case Management services as assigned.
• Crisis phone call response.

Secondary Functions:

• Communicate with and advise clients, provider network, and all other stakeholders regarding behavioral health benefits, utilization management function, community treatment resources, and BPA Health, Inc. policies, procedures, and criteria.
• Participate in quality improvement activities, including peer audits and data collection, tracking, and analysis.
• Advocate for the client.
• Ensure treatment needs are met. Propose alternative plans of treatment when requests for services do not meet medical necessity criteria.
• Provide referrals as appropriate.

Qualifications:

• Strong interpersonal, oral, and written communication, organizational, analytical, time management, and computer skills.
• Crisis intervention skills.
• Knowledge of utilization management procedures and behavioral health community resources and providers.
• Ability to exercise sound judgment.
• Ability to make logical decisions and to perform independently and as a team member.
• Knowledge of DSM 5 and ASAM criteria.
• Ability to audit clinical review criteria, analyzes specific utilization problems, and plan and implement solutions that directly influence the quality of care.
• Appreciation of cultural diversity and a strong sensitivity towards the target member population.
• Detail-oriented and accurate with the ability to manage multiple projects at one time.

Experience and/or Education:

• Degree in the behavioral health field (i.e., counseling, social work).
• LPC or LMSW
• LCPC or LCSW preferred - Unrestricted Idaho clinical licensure in behavioral health.
• Proficient with MS Office, including Word, Excel, PowerPoint, and Outlook.
• Pass a criminal history background check and drug screen.

Travel Requirements:

• Limited travel, up to 10% may be required.
• This might include the ability to make trips involving overnight stays.

Job Type: Full-time

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Flexible schedule
• Flexible spending account
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Parental leave
• Retirement plan
• Tuition reimbursement
• Vision insurance

Schedule:

• 8 hour shift
• Monday to Friday

Ability to commute/relocate:

• Boise, ID 83704: Reliably commute or planning to relocate before starting work (Required)

License/Certification:

• unrestricted Idaho clinical licensure in behavioral health (Required)

Work Location: Hybrid remote in Boise, ID 83704

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