CARE MANAGER OUTPATIENT SERVICES

Job Snapshot

Job ID: 52002

Location: Cypress, CA

Posted: 9/11/2017

Category: Health Care, Management

Experience: Not Specified

Education: See Requirements

Job Description

ABOUT THE POSITION

We are currently seeking a dynamic CARE MANAGER to join our team at our office in Cypress, CA.  The Care Manger Licensed Clinician is a position in fast-paced environment that serves the members population seeking behavioral health services. The Care Manager is responsible for screening and triaging members to appropriate level of care and providing resources and referrals

Position Responsibilities:

  • Responds to screening and triaging members telephonically to determine appropriate level of care

  • Managing, coordinating care, tracking and reporting of all assigned Members in care management

  • Utilization Review with providers based on claims trigger data and 6 month reviews

  • Work collaboratively to coordinate a supportive environment and clear communication;

  • Maintaining accurate information in Beacon’s clinical documentation systems as directed

  • Telephonic collaboration with provider and county agencies regarding members in treatment

  • Participation in systems meetings as needed

  • Collaborate with Primary Care Physician (PCP), Behavioral Health Professionals (BHP), and other members of the health care team, including health plan medical care managers and others to arrange and coordinate services for the member and optimize the member’s ability to engage in the appropriate plan of care;

  • Assist with NCQA and URAC initiatives

  • Urgent calls

  • Telephonic collaboration with Members

  • Treatment Record Reviews

  • Attend Clinical meetings

  • Other duties as assigned

    Position Requirements:

    Education: Master’s degree or higher in a health related field and licensure as a behavioral health professional

    Licensures: Licensed behavioral health clinician/nurse (LCSW, LMFT, LPCC, RN, Ph.D. or PsyD.) Who has Certification as a Care Manager is preferred.

    Relevant Work Experience:  

  • BSN, licensure as a professional and 3 years’ behavioral health clinical practice, Certification as a Care Manager is preferred.

  • Educated in current principles and procedures of behavior health care.

    Knowledge, Skills & Abilities:

  • Knowledge of managed care and state specific expertise preferred.

  • Demonstrated work experience to influence and negotiate to effectively manage patient care and health care outcomes.

  • Demonstrated work experience meeting strict deadlines and established cycle times through effective prioritization and follow-up.

  • Strong interpersonal skills and good written and verbal communication skills.

  • Advanced computer skills required, including working knowledge of MS Office: Word, Excel, and PowerPoint

    TO APPLY

    Click below on 'Apply for this Position' to create a profile and apply for the position

Beacon Health Strategies, LLC., a Beacon Health Options company, is proud to be an Equal Opportunity Employer as well as a Drug Free Work Environment. EOE/M/F/Veterans/Disabled

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Job Requirements

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  • 5,000 employees nationally and in the U.K.,serving more than 48 million people.
  • My team at Beacon Health Options welcomed me immediately. Collaborating with so many talented individuals within the organization gives me a daily opportunity to see the great work we do in action. - Proposal Specialist, Norfolk, VA
  • Over 350 clients, including 225 employer clients, 45 Fortune 500 companies and partnerships with almost 100 health plans
  • What I like most about Beacon is that the people who work here are smart and dedicated to the company's mission. Beacon is at the forefront of changing mental healthcare delivery, so the work is exciting and meaningful. - Analyst, Boston, MA
  • Serving 8.5 million military personnel, federal civilians and their families.