North Carolina Licensed Care Manager

Job Summary

A company is looking for an Episodic Care Manager - Behavioral Health.

Key Responsibilities

• Perform clinical reviews to assess and coordinate healthcare services based on medical necessity
• Communicate and collaborate with internal and external staff to ensure effective service delivery
• Document clinical reviews and provide necessary information for further evaluations by medical directors

Required Qualifications

• Registered Nurse (RN) with 3 years of clinical experience or Licensed Practical Nurse (LPN) with 5 years of clinical experience
• Applicable licensure for Behavioral Health roles may be considered with a minimum of 3 years of clinical experience
• Must maintain a valid clinical license (NC or compact multi-state licensure)
• Previous experience with utilization management in Behavioral Health is preferred