CARE MANAGER-CNS

Beacon Health Options - Remote3.1

Full-time
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We are currently seeking a dynamic Care Manager to join our Central Night Services team! The Clinical Care Manager will provide telephonic assessments, referrals and counseling.

Individual may work remote but must have valid mental/behavioral health license.

Position Responsibilities:
Triage Assessment and Referral Responsibilities:
Complete telephone assessments and referral; gathers demographic and clinical information to connect patient with appropriate provider, including outpatient treatment as necessary; and for emergency, urgent, routine and EAP referrals
Provide appropriate referrals for treatment based in assessment of information gathered during telephone contacts and or on-site with providers. Refer cases that do not meet criteria and need non-cert., to Peer Advisors
Manage release of MHSA benefit provided by carrier for designated group. Ask questions and listen to member in order to assess case and determine need
Give referral and/or make referral appointment as circumstances warrant
Collaborates with providers to determine alternate levels of care and to facilitate transfers to network facilities and providers whenever possible
Facilitates coordination of care with other managers to assure continuity of care

Clinical Review Responsibilities:
Review for medical appropriateness psychiatric/substance abuse cases utilizing professional knowledge to apply Beacon Health Options criteria
Render certification decisions that are within the scope of practice that is relevant to the clinical area under review
Provide reviews for predetermination of medical necessity
Review proposed courses of treatment for medical necessity
Utilize rounds and case consultations to Clinical Supervisor and Peer Advisor for cases outside criteria or not progressing

Customer Service / Administrative Responsibilities:
Interface with internal and external customers to maintain optimal efficiency of service
Maintain telephone superior service standards
Contribute to monthly staff meetings and clinical conferences
Attend appropriate meetings, trainings and conference calls as scheduled
Perform all other aspects of customer service as required
Conduct business in a professional manner
Troubleshoot Clinical issues
Investigate and research to resolve customer complaint problems and issues
Will facilitate all tracking necessary quality indicators to meet the necessary accrediting bodies (NCQA, URAC)
Perform special projects and all other duties as assigned

Position Minimum Requirements:
Education: Masters’ degree in social work or psychology required or a Bachelor’s level RN required
Licensures: Current, valid and unrestricted license in a mental health field (RN, Ph.D., LCSW/LMSW, LLP, MHC, LPC, etc.) required
Relevant Work Experience: 3 years’ experience in psychiatric or substance use treatment required
Experience as a CEAP or EAP internal/external consultant to a work site area required (for the integrated unit)
Experience in settings that include inpatient, partial, and/or outpatient care preferred

Knowledge, Skills, & Abilities:
Must possess the ability to function in an interdisciplinary setting
Must have knowledge and experience using management information systems
Strong customer service orientation and excellent written and verbal communication skills required
Must be knowledgeable about care resources and levels of care availability

To Apply:
Click below on “Apply for this Position” to create a profile and apply for the position

Beacon Health Options company is proud to be an Equal Opportunity and Affirmative Action Employer as well as a Drug Free and Tobacco Free Work Environment. EOE/AA/M/F/Veterans/Disabled

At Beacon Health Options, our candidate's data privacy is a top priority. Our recruiting team conducts all communications using official company email (@BeaconHealthOptions.com). Only candidates who have applied for an open position through our Careers page (careers.beaconhealthoptions.com) will be engaged in our interview process. Beacon conducts all interviews in person or over the phone. At no time during the recruiting process will any Beacon recruiter request any financial or personally identifiable information from you

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