Care Manager BH

Maryland Heights, MO 63043

Posted: 10/15/2019 Category: Healthcare Job Number: 31924

Job Title: Behavioral Health Telephonic Case Manager

Location: Maryland Heights, MO USA 63043

Pay: $28.00 - $30.00 hourly

Schedule: Monday - Friday 8: 00am -5: 00pm

Apply today with Ashley at 877-782-3334 or email akruger@alinestaffing.com

Summary
  • Under general supervision, and in collaboration with other members of the clinical team, authorizes and reviews utilization of mental health and substance abuse services provided in inpatient and/or outpatient care settings. Collects and analyzes utilization data. Provides member assistance with mental health and substance abuse issues, and participates in special quality improvement projects

Essential Functions
  • Provides telephone triage, crisis intervention and emergency authorizations as assigned.
  • May also perform quality clinical reviews while educating and making appropriate interventions to advance the care of the member in treatment.
  • Provides information to members and providers regarding mental health and substance abuse benefits, community treatment resources, mental health managed care programs, and company policies and procedures, and criteria.
  • Interacts with Physician Advisors to discuss clinical and authorization questions and concerns regarding specific cases.
  • Participates in quality improvement activities, including data collection, tracking, and analysis.
  • Maintains an active work load in accordance with National Care Manager performance standards.
  • Works with community agencies as appropriate.
  • Proposes alternative plans of treatment when requests for services do not meet medical necessity criteria.
  • Participates in network development including identification and recruitment of quality providers as needed.
  • Advocates for the patient to ensure treatment needs are met. Interacts with providers in a professional, respectful manner that facilitates the treatment process.

Requirements
  • Masters degree
  • Active state license ( CEAP, LCSW, LPC)
  • 2+ years of experience post degree in healthcare, behavioral health, psychiatric and/or substance abuse health care setting.
  • Knowledge of utilization management procedures, mental health and substance abuse community resources and providers.
  • Knowledge and experience in inpatient and/or outpatient setting.
  • Microsoft Suite products (Word, Excel, and Outlook)

Apply today with Ashley at 877-782-3334 or email akruger@alinestaffing.com

 

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