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

General Position Summary:

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 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.

Essential Functions:

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

Secondary Functions:

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

Supervisory Responsibility: None

Specific Job Skills and Competencies:

• Excellent customer service skills.
• Strong interpersonal, oral and written communication, organizational, analytical, time management, and computer skills.
• Knowledge of utilization management procedures and behavioral health community resources and providers.
• Crisis intervention skills.
• Ability to exercise sound judgment, 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, plan and implement solutions that directly influence quality of care.
• Strong initiative and creative problem-solving abilities.
• Appreciation of cultural diversity and strong sensitivity towards target member population.
• Detail oriented and accurate with the ability to manage multiple projects at one time.
• Adherence to the values and mission of BPA Health
• Must be reliable, punctual, and flexible.

Experience and/or Education:

• Master’s degree in behavioral health field (i.e., counseling, social work)
• Unrestricted Idaho clinical licensure in behavioral health (LCPC or LCSW required)
• 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. Ability to make trips involving overnight stays. Means of transportation required.

Employee Benefits:

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

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

About BPA Health:

For over 40 years, BPA Health has pioneered behavioral health in Idaho and the Northwest. We are committed to providing real and human solutions that make lives better, organizations more effective and communities stronger.

BPA Health was founded on the principles of compassion, trust and stewardship of the health and wellbeing of the individuals and organizations we serve. Today, our footprint as well as our range of services and solutions has grown, but our promise remains true. We view the world with empathy and expertise inspired by creative business thinking. As a result, we develop and deliver products and services to support specific, often overlooked aspects and outcomes of behavioral health. Whether working for a broader, more inclusive definition of healthcare or more efficient and effective business solutions, a strong spirit of service defines our company and our work.
Our core values:

• Do the Right Thing
• Growth Mindset
• Actively Engage
• Do What You Say

www.bpahealth.com