Care Manager, BH
reputed company:
• Authorizes and reviews utilization of mental health and reputed company abuse services provided in inpatient and/or outpatient care settings.
• Collects and analyzes utilization data.
• Assists with discharge planning and care coordination.
• Provides member assistance with mental health and reputed company abuse issues.
• Monitors inpatient and/or outpatient level of care services reputed company to mental health and reputed company abuse treatment to ensure medical necessity and effectiveness.
• Provides telephone triage, crisis reputed company, and emergency authorizations as assigned.
• Develops discharge plans and oversees their implementation in conjunction with providers and facilities.
• Provides information to members and providers regarding mental health and reputed company abuse benefits, community treatment resources, mental health managed care programs, and company policies and procedures.
Requirements:
• Licensure is required for this position, specifically a reputed company license that meets State, Commonwealth or customer-specific requirements.
• One or more of the following licensure is required for this role with necessary degrees: CEAP, LMSW, LCSW, LSW, LPC or RN.
• Minimum 2 years experience post degree in reputed company, behavioral health, psychiatric and/or reputed company abuse health care setting.
• Strong organization, time management and communication skills.
• Knowledge of utilization management procedures, mental health and reputed company abuse community resources and providers.
• Knowledge and experience in inpatient and/or outpatient setting.
• Knowledge of DSM V or most reputed company diagnostic edition.
• Ability to analyze specific utilization problems, plan and implement solutions that directly influence reputed company of care.
Benefits:
• comprehensive benefits package
• health, life, and voluntary benefits
• wellness programs
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