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CARE MANAGER-CRL in Remote at Beacon Health Options

Date Posted: 3/22/2019

Job Snapshot

Job Description

In a clinical call center environment, the CLINICAL CARE MANAGER provides telephonic assessments, referrals and brief clinical interventions to make appropriate referral and certification decisions for routine and emergent/urgent referrals requiring for all levels of care. Facilitates transfers to network facilities and providers whenever possible.  Facilitates coordination of care with other care managers to assure continuity of care.  Evaluates clinical appropriateness of treatment using professional knowledge within company clinical and worksite guidelines.

Position Responsibilities:

  • Works in a high-volume, clinical call center environment, answering inbound calls to assist members access mental health, substance use and employee assistance programs
  • Conducts brief telephonic, clinical assessments to determine appropriate level of care, per Beacon Health Options/ValueOptions of California (VOC) criteria for medical necessity, and connects callers accordingly.
  • Must be knowledgeable about care resources and levels of care available
  • Coordinates with other Clinical Care Managers to assure that patient comprehensive treatment needs are met
  • Utilizes case consultations with Clinical Management Team and Medical Director for complicated or clinically urgent cases
  • Maintains confidentiality and ethical and professional standards
  • Applies Beacon Health Options/VOC policies and procedures consistently
  • Maintains individual productivity and performance standards
  • Interfaces with external and internal customers to ensure optimal efficiency of service
  • Maintains telephone service standards
  • Contributes to staff meetings and clinical conferences.

Position Requirements: 

  • 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 license in a mental health field (RN, Ph.D., LCSW, LMFT or LPC).
  • Years of Relevant Experience: 3 - 5 years direct practice experience in psychiatric or substance abuse treatment.  Experience in settings that include inpatient, partial, and/or outpatient care preferred. For some roles experience as a CEAP or EAP internal/external consultant to a work site area may be required

TO APPLY

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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

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