Care Manager UM in Little Rock, AR at Beacon Health Options

Date Posted: 8/16/2019

Job Snapshot

Job Description

We are currently seeking a dynamic UM Care Manager to join our Utilization Management team at Empower Healthcare Solutions (an entity of Beacon Health Options) in Little Rock, AR. The UM Care Manager performs authorization determinations of mental health, substance use, and home and community based services provided in inpatient, outpatient and/or diversionary care settings. The UM Care Manager under the direction of the UM Manager collaborates with a team of professionals dedicated to evaluating treatment/service plans and identifying the appropriateness of services rendered for members with complex psychosocial needs.

Position Responsibilities:

  • Performs web and/or telephonic case review and authorization determinations for admissions and extensions of benefits of Behavioral Health/Developmental Disability and Substance use treatment at any level of care.
  • Determines appropriate level of care related to mental health, Developmental Disability, and substance use treatment for members based on Beacon’s medical necessity level of care criteria along with the use of InterQual criteria.
  • Consults with Beacon’s Physician Advisors (PA) when requests for services do not meet medical necessity criteria
  • Interacts with Physician Advisors to discuss clinical/authorization questions, alternative treatment options and concerns regarding specific cases
  • Recognizes quality of care issues and reports them appropriately through internal and external processes.
  • Interacts with providers and facilities in a professional, respectful manner
  • Complies with all Beacon’s policy guidelines, external regulatory requirements
  • Position Requirements:
  • Master’s degree or higher in a health related field preferred. Current, valid, unrestricted, and independent clinical/behavioral health licensure or RN certification in the state of Arkansas and must practice within the scope of that licensure
  • Relevant Work Experience: 2 years behavioral health experience required
  • Knowledge, Skills & Abilities:
    • Keen attention to detail and ability to multitask with ease
    • Moderate skill level in MS Office environment (Outlook, Word, Excel, PowerPoint)
    • Good written and verbal communication skills
    • Desire to continually improve problem resolution skills
    • Team player with an ability to work under pressure

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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

At Beacon Health Options, our candidate's data privacy is a top priority. Our recruiting team conducts all communications using official company email (@BeaconHealthOptions.com). Only candidates who have applied for an open position through our Careers page (careers.beaconhealthoptions.com) will be engaged in our interview process. Beacon conducts all interviews in person or over the phone. At no time during the recruiting process will any Beacon recruiter request any financial or personally identifiable information from you.

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