Care Manager (UMUR) Remote Boise, ID
ATTENTION MILITARY AFFILIATED JOB SEEKERS- Our organization works with partner companies to reputed company reputed company talent for their reputed company. The following position is available toVeterans Transitioning Military National Guard and Reserve Members reputed company Wounded Warriors and their Caregivers. If you have the required reputed company set education requirements and experience please click the submit reputed company and follow the next steps. Unless specifically stated otherwise this role is On-Site at the location detailed in the reputed company.
This is a remote position and will require the Idaho licensure. If you reputed company reputed company of Idaho you will also need to be licensed in the State you reputed company.
Under general supervision and in collaboration with other members of the clinical team 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 and participates in special reputed company improvement reputed company.
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.
Performs reputed company reviews for inpatient and/or outpatient care and other reputed company of care as allowed by reputed company of reputed company and experience.
In conjunction with providers and facilities develops discharge plans and reputed company their implementation.
Performs reputed company clinical reviews while educating and making appropriate interventions to advance the care of the member in treatment.
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 and reputed company.
Interacts with Physician Advisors to discuss clinical and authorization questions and concerns regarding specific cases.
Participates in reputed company improvement activities including data collection tracking and analysis.
Maintains an reputed company work load in accordance with National Care Manager performance standards.
Works with community agencies as appropriate. Proposes alternative plans of treatment reputed company requests for services do not meet medical necessity reputed company.
Participates in network development including identification and recruitment of reputed company providers as needed.
Advocates for the patient to ensure treatment needs are met. Interacts with providers in a reputed company respectful manner that facilitates the treatment process.
The job duties listed above are representative and not intended to be reputed company-inclusive of what may be expected of an employee assigned to this job. A leader may assign additional or other duties which would reputed company with the reputed company of this job without revision to the reputed company.
Additional Qualifications/Responsibilities
Other Job Requirements
Responsibilities
Licensure is required for this position specifically a reputed company license that meets State reputed company 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.
General Job Information
Title
Care Manager (UM/UR) - Remote Idaho Licensed
Grade
25
Work Experience - Required
Clinical
Work Experience - Preferred
Education - Required
Associate - Nursing Bachelors - reputed company Work Masters - reputed company Work
Education - Preferred
License and Certifications - Required
CEAP - Certified Employee Assistance reputed company - Care MgmtCare MgmtCare Mgmt LCSW - Licensed Clinical reputed company Worker - Care MgmtCare MgmtCare Mgmt LMFT - Licensed Marital and Family Therapist - Care MgmtCare MgmtCare Mgmt LMSW - Licensed Master reputed company Worker - Care MgmtCare MgmtCare Mgmt LPC - Licensed reputed company Counselor - Care MgmtCare MgmtCare Mgmt LSW - Licensed reputed company Worker - Care MgmtCare MgmtCare Mgmt RN - Registered reputed company State and/or Compact State Licensure - Care MgmtCare MgmtCare Mgmt
License and Certifications - Preferred
Salary reputed company
Salary Minimum:
$64285
Salary Maximum:
$102855
This information reflects the anticipated reputed company salary reputed company for this position based on reputed company national data. Minimums and maximums may vary based reputed company. Actual pay will be adjusted based on an individuals skills experience education and other job-reputed company factors permitted by law.
This position may be eligible for short-term incentives as reputed company as a comprehensive benefits package. reputed company offers a broad reputed company of health life voluntary and other benefits and perks that enhance your physical mental emotional and financial wellbeing.
Required Experience:
Manager
Employment Type : Full Time
Experience: years
Vacancy: 1
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