Position Overview

The Children’s Behavioral Health Care Manager (BH CM) works in the Children’s Special Services Department and provides a hybrid approach, including utilization and case management, to support members aged 0-21 years with complex behavioral, medical, and/or developmental health issues. The Children’s BH CM is responsible for

conducting utilization and quality management activities in accordance with New York State and MetroPlusHealth

Utilization Management policies and procedures for diversionary services including, but not limited to HCBS, AOT,

and PROS. The Children’s BH CM is also responsible for reviewing and approving Plans of Care and HCBS

services in collaboration with the CSS Medical CMs and Foster Care Liaison, as indicated. The Children’s BH CM

works with Health Home Coordinators, LDSS/VCFA, and community providers to advocate for proper access to

comprehensive services and continuation of care.