Care Manager Utilization Management

Riverside Health System - Hampton, VA3.7

Riverside Behavioral Health Center, a Campus of Riverside Regional Medical Center located in Hampton, Virginia is currently seeking a full-time Care Manager Utilization Management to join their dynamic team of compassionate professionals.

Job Summary: Strongly desire candidates to have RN, LPC, LCSW, LMFT, or a LMHC. This position must demonstrate by education and/or training a background in the assessment and treatment of children adolescents and adults seeking psychiatric and/or chemical dependency treatment. The position performs Utilization Review activities to include preauthorizations review of admissions and continued stay reviews for medical necessity using approved criteria completes all medical record documentation and other written assignments (CM Screening Form) outlined in the department/hospital policy. The Care Manager serves as the treatment team coordinator calls treatment team completes multidisciplinary treatment team documents according to policy and provides treatment team with medical necessity information. The Care Manager is the discharge planner and ensures patients/residents are provided age appropriate aftercare plans. Continuity of care is ensured by providing copies of the aftercare plan to providers. In addition the Care Manager identifies opportunities to improve quality and decrease cost in all areas of responsibility through an interdisciplinary approach and maintains positive interpersonal relations through professional interactions and communications. The Care Manager works under the supervision of the Manager of Admissions/Care Management.

Riverside Behavioral Health Center offers the most comprehensive range of behavioral health programs on the Virginia Peninsula. An established mental health care provider in Hampton Roads since 1983, Riverside Behavioral Health Center provides psychiatric and chemical dependency services to children, adolescents and adults on an outpatient and inpatient basis. We offer a variety of services such as Inpatient Adult Services, Inpatient Child and Adolescent Services, Adolescent Residential Services and Outpatient Services, to individuals who experience emotional, psychological and behavioral problems. Individual, family and group therapy, recreation therapy, art therapy, life skills groups, and medication management are key components of the programs we provide.

Education: RN or Masters degree (MSW, MS, MA, Med) in Social Work, Counseling, Psychology, or related field.

Experience: Clinical Internship in a hospital setting or two years clinical experience preferred.

Licensure/Certification: Strongly desire candidates to have RN, LPC, LCSW, LMFT, or a LMHC. Current BLS is required within 10 days of hire. If RN selected, Virginia Nursing License required.