**Experienced Care Manager – Behavioral Health Treatment (BHT) – Remote Opportunity at arenaflex**

Are you a compassionate and detail-oriented professional with a passion for delivering exceptional care to individuals in need? Do you thrive in a dynamic and collaborative environment where you can make a meaningful impact? Look no further than arenaflex, a leading healthcare organization dedicated to providing high-quality care to our members. As a Care Manager at arenaflex, you will play a vital role in overseeing and evaluating Behavioral Health Treatment (BHT), including Applied Behavior Analysis (ABA) services, for eligible members. Your expertise and dedication will ensure that our members receive the highest quality of care based on medical necessity, while also promoting a culture of dignity and respect. **Job Overview** Join our esteemed team at arenaflex, where you will have the opportunity to work in a mission-focused environment that prioritizes excellence in member service and care management. As a Care Manager, you will be responsible for navigating a complex and ever-changing healthcare landscape, collaborating with team members to achieve departmental objectives, and ensuring that our members receive the care they need to thrive. **Key Responsibilities** * Navigate a mission-focused environment dedicated to excellence in member service and care management, demonstrating integrity and accountability. * Collaborate effectively with team members to fulfill departmental objectives and support both immediate and long-term goals. * Assess requests for medical appropriateness and verify referrals according to established clinical guidelines. * Collect pertinent medical information for review by the Medical Director and communicate decisions clearly. * Accurately document all necessary information in the utilization management system, ensuring updates on authorizations are recorded. * Conduct thorough reviews of submitted documentation for compliance with coding (ICD-10, CPT-4, HCPCS) and coverage guidelines. * Maintain adherence to established policies and procedures while conducting quality reviews of documents. * Promptly notify providers and members of decisions made, ensuring timely and effective communication. * Stay updated on federal, state, and local regulations pertaining to the BHT benefit. * Identify potential quality concerns and report them as necessary, assisting with case audits when required. * Participate in additional projects and responsibilities as assigned. **Required Skills** * Establish and nurture strong relationships with colleagues and external partners from diverse backgrounds. * Work autonomously while exercising sound judgment in decision-making. * Communicate effectively in both verbal and written formats. * Adapt to a flexible work schedule that may include evenings and weekends. * Exhibit strong organizational, analytical, problem-solving, and project management skills. * Prosper in a fast-paced work environment while managing multiple tasks simultaneously. * Inspire and motivate team members and external committees. * Demonstrate proficiency in Microsoft Office Suite (Word, Outlook, Excel, PowerPoint) and related applications. **Qualifications** * A Master's degree in psychology, social work, counseling, or a related field, along with a minimum of four years of experience in providing ABA or mental health services, including clinical review and treatment plan oversight. * Current, unrestricted California license (LCSW, LPCC, LMFT, RN with BH experience, BCBA, or BCBA-D). **Career Growth Opportunities** Our organization values your professional development and offers numerous opportunities for skill enhancement and career advancement within the healthcare sector. As a Care Manager at arenaflex, you will have the chance to: * Develop your expertise in Behavioral Health Treatment (BHT) and Applied Behavior Analysis (ABA) services. * Collaborate with a dedicated team of healthcare professionals to achieve departmental objectives. * Participate in ongoing training and professional development opportunities to enhance your skills and knowledge. * Take on additional responsibilities and projects to advance your career and contribute to the growth of our organization. **Company Culture and Values** We foster a collaborative environment that emphasizes high-quality performance and member service, nurturing a culture of dignity and respect. Our team is dedicated to delivering exceptional care to our members, and we are committed to creating a workplace that is inclusive, supportive, and empowering. **Networking and Professional Opportunities** As a Care Manager at arenaflex, you will have the chance to collaborate with a dedicated team of healthcare professionals, enhancing your professional network and skillset in the healthcare community. You will also have access to ongoing training and professional development opportunities, as well as the chance to participate in additional projects and responsibilities to advance your career. **Compensation and Benefits** * Competitive salary commensurate with experience. * Comprehensive health, dental, and vision insurance. * Retirement savings plan with company matching contributions. * Generous vacation and paid time off policies. **Employment Type** Full-Time **How to Apply** If you are a motivated and compassionate professional with a passion for delivering exceptional care to individuals in need, we encourage you to apply for this exciting opportunity at arenaflex. Please visit our website to learn more about our organization and to submit your application. [Apply Job!]( Apply for this job