Behavioral health clinical care mgr (swing shift) - (Irving, TX)

Description: Position Purpose\\: Handle inbound and outbound member and provider calls on a clinical phone queue. Ensure members receive behavioral health services appropriate to clinical need. Triage crisis calls to assist with stabilization and access to emergency evaluation. Coordinate services with other departments, such as medical case/care management. Perform utilization management functions, including authorization determinations and care shaping.Handle member calls, performing activities such as telephonic clinical assessment, determining appropriate level of care and services and answering benefit questions.Perform utilization review functions with behavioral health providers, including care shaping and authorization determinations.Responsible for utilization management activities with providers and/or member calls, depending on team.Triage crisis calls, providing in-the-moment support and assisting with access to emergency services.Use established protocols, as well as clinical judgment