• Spanish Speaking - Licensed Case Manager (MFT, LCSW, RN, Ph.D, PsyD)

    Company: Beacon Health Strategies

    Location: Cypress, CA

    Date Posted: October 11, 2013

    Responsible for completing triage assessments to determine patient risk and appropriate level of care, as well as, performing ongoing utilization review, authorization for all levels of care (both psychiatric and chemical dependency.) Responds to urgent/emergent assessment calls as transferred by Member Services Conduct assessments, treatment planning, care coordination and interventions for Intensive Case Management programs Establish collaborative relationships with network providers, public sector services and health plans Review criteria for out of network provider requests, transition of care benefits and set up Single Case Agreement Complete telephonic clinical/quality management reviews, document and create authorizations as needed Remain aware of all health plan guidelines,...

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