Job ID: 52274
Location: Cypress, CA
Experience: Up to 5 year(s)
Education: See Requirements
ABOUT THE POSITION
We are currently seeking a dynamic CARE MANAGER to join our team at our office in Cypress, CA. The CARE MANAGER will provide telephonic assessment, referrals, and benefit related counseling.
Completes telephone assessments and referrals; gathers demographic and clinical information to connect patient with appropriate provider, including outpatient treatment as necessary; and for emergency, urgent, routine and EAP Referrals.
Reviews for medical appropriateness psychiatric/substance abuse cases utilizing professional knowledge to apply Beacon Health Options criteria and render certification decisions that are within the scope of practice that is relevant to the clinical areas under review. Utilizes professional knowledge to apply Beacon Health Options and contract-specific criteria in rendering certification decisions. Applies Beacon Health Options policies and procedures consistently.
Coordinates with other Care Managers and Commercial Referral Line Clinical Leadership to assure that patient comprehensive treatment needs are met.
Provides consultation to workplace on issues related to troubled employees, substance abuse cases, management referral, regulatory referrals, onsite training and debriefing services.
Maintains individual productivity and performance standard, as well as the telephone service standards with are in effect at the time; Maintains positive working relationships with internal and external co-workers and customers to ensure optimal efficiency of service; Maintains confidentiality and ethical and professional standards at all times.
Education: Minimum of a master’s degree in mental health related discipline or a minimum of an Associate’s degree in nursing with related psychiatric nursing experience.
Licensure: Current, valid and unrestricted California clinical license in a mental health field (LCSW, LPC or LMFT) is required.
Relevant Work Experience: Three (3) to five (5) years direct practices experience in psychiatric or substance abuse treatment. Experience in settings that include inpatient, partial, and/or Outpatient care is required.
Knowledge, Skills & Abilities:
Strong customer service orientation, excellent written and verbal communication skills
Type 30 wpm
Knowledge of treatment care resources and levels of care available
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Beacon Health Options company is proud to be an Equal Opportunity and Affirmative Action Employer as well as a Drug Free and Tobacco Free Work Environment. EOE/AA/M/F/Veterans/Disabled.