Collaborating with providers to determine alternate levels of care and to facilitate transfers to network facilities. Applicants must meet the following qualifications:
Attend appropriate meetings, trainings and conference calls as scheduled.
Knowledge of utilization management procedures, mental health and substance abuse. Knowledge and experience in inpatient and/or outpatient setting. Knowledge of DSM V or most current diagnostic edition. Ability to analyze specific utilization problems, plan and implement solutions.
Care Manager, Behavioral Health. Remote - NY. Telecommute. The Care Manager plans and manages behavioral and/or physical care with members and their beneficiaries and works with clinicians and health care team members.
Care Manager, Telephonic Behavioral Health 2 (BCBA) - Remote, United States. Work at Home Kentucky. Work at Home Oklahoma. Work at Home Ohio. Work at Home North Dakota. Work at Home North Carolina. Work at Home New York. Work at Home New Mexico. Work at Home New Jersey. Work at Home New Hampshire.
Care Manager - CNS (nights/weekends)
Job Category : Clinical - Care Mgmt. Requisition Number : CAREM02978 Posting Details. Posted : September 3, 2020 Full-Time. NY - Latham Latham, NY, USA. NY - Latham Latham, NY, USA.
Core Responsibilities Include:
Driving the project management of our team’s affiliate engagements. Supporting the facilitation of key meetings and planning processes that drive towards outcomes. Creating written and verbal reports, presentations, and communications.
. HOURS : 8:00 am-5:00 pm, Monday through Friday This is a Utilization Management position, which is primarily a provider facing role, although it does involve some member facing activities such as collecting information and using clinical knowledge and expertise to ensure our members are directed
CEAP certification as required by management. .
Strong organizational, time management and communication skills. .
Knowledge of utilization management procedures, mental health and substance abuse community resources and providers. .
Knowledge of and experience in inpatient setting.
. LCSW, LMFT, LPCC, and must live in the state of California Utilization Management experience in Behavioral Health strongly preferred Under general supervision, and in collaboration with other members of the clinical team, authorizes and reviews utilization of mental health and substance abuse