Care Manager in Orlando, FL at Beacon Health Options

Date Posted: 1/3/2020

Job Snapshot

Job Description


We are currently seeking a dynamic UM Care Manager to join our team at our office in Orlando, FL.  The UM Care Manager authorizes and reviews utilization of mental health and substance use services provided in inpatient and intermediate care settings; assists with discharge planning and ambulatory follow up activity provides member assistance with mental health and substance use issues, and participates in special utilization projects. 


Position Responsibilities:

•         Performs telephonic care review and authorization determinations for prospective, concurrent and discharge review with psychiatric and substance use treatment facilities as assigned

•         Determines appropriate level of care related to mental health and substance use treatment for members based on Beacon medical necessity level of care criteria

•         Consults with Beacon 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

•         Provides information to members and providers regarding mental health and substance use benefits and community treatment resources

•         Provides telephone triage and crisis intervention to callers and, when necessary, assists with ensuring members have access to local services and resources

•         Ensures notification of care determination is made to provider and member

•         Identifies and refers high risk members to care management.

•         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 policy guidelines, external regulatory requirements and URAC/NCQA accreditation standards.

•         Participates in clinical rounds

•         Assists with NCQA, URAC and other QI initiatives

•         Other duties as assigned

Position Requirements:

Education: B.S. Degree in mental health field or an Associate’s Degree in Nursing with related psychiatric nursing experience. Master’s degree highly preferred in a health related field.

Licenses: Current, valid, unrestricted clinical license required.   License can be an out of state License.  (RN, LCSW, MFT, LPCC, PhD or PsyD) or BNS and must practice within the scope of license

 Years and Type of Relevant Work Experience:  3 years behavioral health clinical practice required and 5 years case management experience required




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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

At Beacon Health Options, our candidate's data privacy is a top priority. Our recruiting team conducts all communications using official company email ( Only candidates who have applied for an open position through our Careers page ( 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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