Overnight Behavioral Health Utilization Review Jobs in Riverside, CA

WE ARE TITANIUM HEALTHCARE

Titanium is a healthcare company that puts heart and compassion above all else. Millions of Americans just aren’t getting the medical care they need. We’re on a mission to change that. For patients that means exceptional support and better care. For providers it means better support and time to focus on patients, and for partners that means higher quality and lower cost.

Join us in our mission!

POSITION SUMMARY

The Behavioral Health Care Manager (BHCM) provides high-quality, member-centered behavioral health care management services to Titanium Healthcare's Enhanced Care Management (ECM) population. The BHCM is responsible for engaging members with complex behavioral health and psychosocial needs, coordinating care across medical and behavioral health providers, connecting members to community resources, and promoting improved health outcomes through evidence-based interventions. The BHCM serves as the behavioral health expert on the interdisciplinary care team, providing clinical consultation, supporting care planning, facilitating care transitions, and ensuring members receive comprehensive, integrated care.

WHERE YOU’LL WORK

This position is hybrid. Work from home and go into the field (San Bernardino & Riverside Counties) as needed. Travel is required to conduct in-person member visits within designated areas. You will have full control over your schedule when meeting members. You are eligible for mileage reimbursement for the use of your vehicle for business-related travel. Standard business hours are Monday through Friday from 8:00 am to 5:00 pm. 

WHAT YOU’LL DO

Member Care Management

• Manage ECM members with behavioral health needs, primarily Tier 1 and Tier 2 members
• Conduct comprehensive biopsychosocial assessments both telephonically and in person
• Develop therapeutic relationships that promote engagement, self-management, and improved health outcomes
• Utilize evidence-based interventions including Motivational Interviewing, Behavioral Activation, solution-focused techniques, and brief therapeutic interventions
• Provide crisis assessment and facilitate warm handoffs to crisis response resources when appropriate
• Coordinate behavioral health, medical, and social services to ensure integrated, whole-person care
• Support members during transitions of care, including hospital admissions and discharges
• Conduct face-to-face visits based on member risk stratification and health plan requirements
• Maintain ongoing engagement through telephonic outreach, home visits, and community-based encounters

Care Coordination & Clinical Responsibilities

• Collaborate with primary care providers, specialists, behavioral health providers, hospitals, health plans, and community organizations
• Participate in Interdisciplinary Care Team (ICT) meetings, Systematic Case Reviews (SCRs), and case conferences
• Collaborate in the development and ongoing maintenance of member-centered shared care plans
• Coordinate referrals for behavioral health treatment, substance use treatment, housing, transportation, food insecurity, and other social determinants of health
• Monitor member progress toward behavioral health and wellness goals
• Track required assessments, screenings, authorizations, and documentation within the care management platform
• Ensure timely documentation that meets Titanium Healthcare, MCP, and DHCS requirements

Education & Consultation

• Educate members and families regarding behavioral health conditions, treatment options, medications, and healthy coping strategies
• Provide consultation to interdisciplinary team members regarding behavioral health conditions, crisis management, and community resources
• Assist with staff education regarding behavioral health best practices and evidence-based care approaches
• Promote integrated behavioral and physical healthcare throughout the organization

Quality & Compliance

• Maintain compliance with Titanium Healthcare policies, DHCS regulations, ECM requirements, and Managed Care Plan (MCP) standards
• Support quality improvement initiatives through accurate documentation and timely completion of required member activities
• Participate in audits, quality reviews, and performance improvement initiatives
• Complete all assigned documentation within established timelines

• Perform other duties and projects as assigned

WHO YOU ARE

• Strong knowledge of behavioral health assessment, diagnosis, and treatment planning
• Understanding of Serious Mental Illness (SMI), Substance Use Disorders (SUD), trauma-informed care, and recovery-oriented practices
• Knowledge of Enhanced Care Management (ECM), CalAIM, and population health principles
• Experience utilizing Motivational Interviewing and other evidence-based engagement techniques
• Excellent crisis assessment and de-escalation skills
• Strong care coordination and interdisciplinary collaboration skills
• Ability to navigate complex healthcare and community resource systems
• Excellent documentation and organizational skills.
• Ability to prioritize workload and manage multiple competing priorities
• Proficiency electronic health record systems

Sensory Requirements

• Fluent in English (written and verbal)
  
• Ability to communicate clearly in-person, by phone, and electronically
• Adequate hearing and vision (with corrective devices if necessary) to conduct assessments and documentation
  
• Ability to identify problems and use logic and related information to develop and implement solutions
• Excellent organizational skills and attention to detail
• Commitment to maintaining patient confidentiality and adhering to ethical standards in healthcare practice

Physical Activity

• Ability to lift, carry, push, or pull up to 20–25 pounds (e.g., laptop bag, forms, mobile equipment)
• Ability to climb stairs or navigate uneven terrain in community and home environments
• Ability to bend, reach, and conduct in-person visits in non-traditional environments
• Must be able to remain in a stationary position
• Must be able to move around the office and/or travel throughout community
• Ability to operate a vehicle and travel to meet with members around the community; attend meetings and events as required or requested

Environmental Conditions 

• Work may occur in homes, shelters, outdoor settings, hospitals, or community organizations, which may include exposure to pets, smoke, odors, clutter or unsanitary condition, and varying temperature conditions
• Ability to maintain professionalism and safety in diverse environments
• Ability to work independently and carry out assignments to completion within the parameters of established policies and procedures

Technology Use

• Frequent use of computers, keyboard, and handheld/mobile devices
• Ability to type for extended periods
• Competent with computers, email, virtual platforms, and Microsoft Office based programs

WHAT YOU’LL NEED

• Master's degree in social work, counseling, psychology, or another related behavioral health field
  
• Minimum of 2+ years of behavioral health, care management, case management, or community-based experience
• Current and valid Driver’s License with a clean driving record
  
• Reliable transportation and proof of auto insurance
  
• Secure home workspace with reliable internet connection.
• Distraction-free home workspace with a secure internet connection

NICE TO HAVES

• Experience in Enhanced Care Management (ECM), CalAIM, or managed care
• Current unrestricted CA LCSW, ACSW, LMFT, AMFT, LPCC, APCC, or equivalent licensure/registration as permitted by program requirements
• Experience working with individuals experiencing Serious Mental Illness (SMI), Substance Use Disorders (SUD), homelessness, or high-risk populations
• Experience with eClinicalWorks (eCW)
• Bilingual in Spanish preferred
  

WHAT YOU’LL ENJOY

• Make an impact: an organization who cares about its employees, communities, and the future of healthcare
• Inclusivity: be a part of a workplace where you not only belong but also can be the best version of yourself
• Growth: opportunities to develop and grow your career with us
• Community: you are encouraged to have a voice, share your opinions, and have an individual impact on the business
• Paid Time Off: 12 holidays and up to 15 days of accrued PTO to rest and recharge plus additional time for sick, jury duty, bereavement, reproductive loss, and therapy
• Work Life Balance: enjoy flexibility to maximize your well-being and success with our hybrid work model
• Medical, Dental, & Vision Benefits: we cover up to 100% of your premium and 50% of your dependents depending on the plan
• Prioritize your mental health with unlimited therapy sessions funded 100% by Titanium Healthcare
• Flexible Spending, Health Savings & Dependent Care Accounts
• Life/AD&D insurance funded 100% by Titanium Healthcare
• Supplemental Short-Term Disability
• Employee Assistance Programs
• Protect your pet(s) with Pet Insurance
• 401(k) plan 

EEO Statement

At Titanium Healthcare, our mission is to fearlessly reengineer the way healthcare works to reduce costs, ensure better outcomes, and provide everyone, everywhere, with the kind of compassionate and coordinated care they deserve. We believe that achieving this mission starts with a diverse and inclusive workforce.

Titanium Healthcare is an equal opportunity employer. We are committed to promoting and celebrating all backgrounds and encourage all applicants, regardless of race, religion, gender, sexual orientation, disability, age, marital status, parental status, military or veteran status, or any other legally protected status, to apply. We believe that diversity and inclusion drive innovation and equity in healthcare, enabling us to better serve our communities and make a lasting impact.