14 Contract Jobs

Salary Range: $67,186.00 (Min.) - $87,342.00 (Mid.) - $107,498.00 (Max.)

Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly operated health plan. Serving more than 2 million members, we make sure our members get the right care at the right place at the right time.

Mission: L.A. Care’s mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose.

Job Summary

The Autism Program Specialist II is the primary contact for the community concerning the added behavioral health treatment services benefit for Medi-Cal beneficiaries. Responsibilities will include program development, essential building of pieces of programmatic efforts as required by federal and state regulations, training and education to both internal L.A. Care staff and the community at large, and submission of federal and state required reports. On the internal side, this position will need to develop an understanding of how Autism Spectrum Disorder services will be handled in claims and utilization management. A large component of this position would also include reviewing comprehensive diagnostic evaluations and reviewing/approving Behavioral Health Treatment plans. Support the Provider Development Manager in ensuring network adequacy, quality of care and timely services. Participate in countywide multiagency collaboration in preventing duplication of services from various agencies such as Department of Education, Regional Centers, L.A. county DMH, etc.

Duties

Ensure treatment plan is being followed and progress is being made. Ensure all required covered services and limitations are standardized across necessary departments within L.A. Care Health Services as per regulation.

Review Comprehensive Diagnostic Evaluations. Approve/authorize full BHT assessment to establish timely treatment plans. Assist in Continuity of Care.

Review Behavioral Health Treatment plans.

Assist Utilization Management in prior authorization process.

Outreach to members, providers, and Regional Centers.

Perform other duties as assigned.

Duties Continued

Education Required

Associate's DegreeIn lieu of degree, equivalent education and/or experience may be considered.

Education Preferred

Bachelor's Degree

Experience

Required:
At least 4 years of experience in Behavioral Health/Health Care-Autism diagnosis, treatment, programs, regulations.

Experience in face-to-face case management in the field.

Skills

Required:
Understand the EPSDT process and the eligibility criteria.

Excellent verbal, written communication and presentation skills

Proficient in Microsoft Office and computer skills

Licenses/Certifications Required

Board Certified Behavioral Analyst - Active, current and unrestricted California license.

Licenses/Certifications Preferred

Licensed Clinical Social Worker (LCSW) - Active, current and unrestricted California LicenseLicensed Marriage and Family Therapy (LMFT) - Active, current and unrestricted California LicenseLicensed Pharmacy Doctorate / Psychology Doctorate

Required Training

Physical Requirements

Light

Additional Information

Salary Range Disclaimer: The expected pay range is based on many factors such as geography, experience, education, and the market. The range is subject to change.

L.A. Care offers a wide range of benefits including

• Paid Time Off (PTO)
• Tuition Reimbursement
• Retirement Plans
• Medical, Dental and Vision
• Wellness Program
• Volunteer Time Off (VTO)

Nearest Major Market: Los Angeles
Job Segment: Behavioral Health, Social Worker, Pharmacy, Claims, Healthcare, Service, Insurance