Job ID: 52002
Location: Cypress, CA
Category: Health Care, Management
Experience: Not Specified
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 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
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
Telephonic collaboration with Members
Treatment Record Reviews
Attend Clinical meetings
Other duties as assigned
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
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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