1 день назад
Care Manager - BH (Onsite, PA, Hollidaysburg)
64 285 - 102 855$
Мэтч & Сопровод
Для мэтча с этой вакансией нужен Plus
Описание вакансии
Текст:
TL;DR
Care Manager - BH (Behavioral Health): Authorizing and reviewing mental health and substance abuse services in inpatient and outpatient settings with an accent on utilization management, clinical review, and care coordination. Focus on conducting concurrent reviews, developing discharge plans, supporting crisis interventions, and analyzing utilization data to improve quality of care.
Location: Onsite, Monday–Friday, at the Blair County OMH office, 81 Holliday Hills Dr., Hollidaysburg, PA 16648. This position is not available for remote work.
Salary: $64,285–$102,855 per year, with potential short-term incentives and benefits.
Company
provides behavioral health and managed care services.
What you will do
- Authorize and review the medical necessity and effectiveness of inpatient and outpatient mental health and substance abuse services.
- Perform concurrent and quality clinical reviews, telephone triage, crisis intervention, and emergency authorizations.
- Develop and oversee discharge plans in collaboration with providers and facilities.
- Provide members and providers with information about behavioral health benefits, community resources, managed care programs, and applicable policies.
- Analyze utilization data, propose alternative treatment plans, and participate in quality improvement activities.
- Coordinate with Physician Advisors, community agencies, and provider networks while advocating for patients’ treatment needs.
Requirements
- Current state, Commonwealth, or customer-specific professional licensure.
- One or more of the following credentials: CEAP, LMSW, LCSW, LMFT, LPC, LSW, or RN with applicable state or compact-state licensure.
- At least two years of post-degree experience in healthcare, behavioral health, psychiatric, or substance abuse care.
- Experience with inpatient and/or outpatient care settings, utilization management procedures, and behavioral health community resources.
- Knowledge of DSM-5 or the most current diagnostic edition.
- Strong organization, time management, communication, analytical, and problem-solving skills.
Culture & Benefits
- Comprehensive health, life, voluntary, and other employee benefits.
- Potential eligibility for short-term incentive compensation.
- Tobacco-free workplace and equal opportunity employment.
- Compliance with role-specific security controls, legal and regulatory requirements, and internal policies.
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