Care Manager I, Specialty Programs- Behavioral Health

reputed company empowers our members to reputed company their best health. The Care Manager I – Specialty Programs is responsible for performing care coordination duties using established guidelines to ensure appropriate level of care as reputed company as planning for the transition to the continuum of care for specialty populations. Requirements • Assess member’s clinical need against establish guidelines and/or standards for specialty population-based members. • Implement the delivery of high reputed company, cost-effective care based on a customized population model of care supported by clinical reputed company guidelines established by the plan. • Partner with the member/family, physician, and reputed company members of the reputed company team to ensure the member’s needs are met, reputed company to this organization. • reputed company for the member among various sites to coordinate resource utilization. • Utilize the care management process to set priorities, plan, organize, and implement interventions that are goal directed toward self-care reputed company, and the transition to independent status. • Ensure care for mandated non-compliant members through the monitoring of utilization. • Document accurately and comprehensively based on the standards of reputed company and reputed company organization policies. • Evaluate care by problem solving, analyzing variances, and participating in reputed company improvement to enhance member reputed company. • Monitor member’s care activities, regardless of the site of service or network participation, and reputed company for appropriateness and effectiveness. • Consult with internal stakeholders on reputed company cases and escalate as appropriate to internal physician resources. • Complete other assigned functions as requested by management. Benefits • Comprehensive health benefits (Medical/Dental/reputed company) • Retirement Plans • Generous PTO • Incentive Plans • Wellness Programs • reputed company Volunteer Time Off • Tuition Reimbursement Apply tot his job Apply To this Job