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UM Care Manager (part time on evenings, nights, weekends) in Remote at Beacon Health Options

Date Posted: 1/7/2019

Job Snapshot

Job Description

About the Position:

We are currently seeking a dynamic UM Care Manager to join our Central Night Services team! The UM Care Manager will be responsible for completing triage assessments to determine patient risk and appropriate level of care based on the medical necessity review, authorization for all higher levels Inpatient (IP), Residential Treatment Center (RTC), Partial Hospitalization Program (PHP), and Intensive Outpatient (IOP) of both mental health and substance use care.

* This is a remote work at home position for nights and weekends. The shifts available are below in Eastern Time. *

*First week of training is during weekday daytime hours*

Sun

Mon

Tue

Wed

Thurs

Fri

Sat

Sun

Mon

Tue

Wed

Thurs

Fri

Sat

Week 1

Week 1

Week 1

Week 1

Week 1

Week 1

Week 1

Week 2

Week 2

Week 2

Week 2

Week 2

Week 2

Week 2

4p-12a

6p-12a

6p-12a

6p-12a

6p-12a

4p-12a

6p-12a

6p-12a

3p-11p

10a-6p

6p-10p

3p-11p

11a-9p

10a-8p

11a-9p

10a-8p

Position Responsibilities:

  • Responds to and completes urgent/emergent assessment and triage for members telephonically
  • Complete pre-certification for higher level of care admissions as part of emergency triage rotation
  • Application of medical necessity criteria in authorization of psychiatric and substance use services. 
  • Referral and triage for members in crisis situations. 
  • Data entry of all authorizations and clinical notes in member files (CareConnect & FlexCare)
  • Participates in scheduled staff meetings and trainings
  • Notify supervisor regarding any quality indicators/concerns, Potential Quality Improvement (PQI) including untoward event/incidents
  • Will work on various plans, flexibility is key
  • Other duties as assigned

Position Requirements:

  • Education: M.S. Degree in Psychology, Social Work, Nursing or related Behavioral Health field required
  • Licenses: Current, valid, unrestricted clinical license required (RN, LCSW, MFT, LPCC, PhD or PsyD) required and must practice within the scope of license
  • Relevant Work Experience: 5 years of combined direct behavioral health clinical and managed care experience required

To Apply:

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

Beacon Health Options 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

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