Part Time Care Manager in Seven Fields, PA at Beacon Health Options

Date Posted: 2/6/2018

Job Snapshot

Job Description

ABOUT THE POSITION

We are currently seeking a dynamic part time (24 hours/week) Care Manager to join our team at our office in Seven Fields, PA.  The Care Manager Conducts telephone assessments, collecting sufficient data to make appropriate referral and authorization decision for emergency, urgent, and routine levels of care.  Makes appropriate utilization management decisions.  Collaborates with providers to determine alternate levels of care and to facilitate transfers to network facilities and providers whenever possible.  Facilitates coordination of care with other service managers and aftercare coordinators to assure continuity of care.  Evaluates clinical appropriateness of treatment using professional knowledge within VBH-PA medical necessity guidelines and renders authorization decisions or seeks peer advisor consultations for non-authorization decisions.

Position Responsibilities:

  • Coordinates with other Care Managers to assure that members’ comprehensive treatment needs are met

  • Completes telephone assessments and referrals; gathers demographic and clinical information to connect member with appropriate provider, including outpatient treatment as necessary; and for emergency, urgent, and routine referrals

  • Reviews for medical appropriateness psychiatric/substance abuse cases utilizing professional knowledge to apply VBH-PA criteria and renders authorization decisions

  • Applies utilization management policies and procedures for determination of initial, concurrent and retrospective review

  • Refers cases that do not meet criteria and need non-authorization decision to Peer Advisor

  • Utilizes rounds and case consultations to Clinical Supervisor and Peer Advisor for quality of care cases

  • Ensures continuity of patient care through contact with providers and assigned individuals

  • Clinical documentation to reflect recovery principles, active and longitudinal care management interventions and quality of care issues.

  • Completes monthly referral registrations to meet quantitative and qualitative standards

  • Participates in customer service assessment activities, including telephone and medical record audits

Position Requirements:

Education: Masters Degree in a mental health related field required (or appropriate education with RN license)

Licensure:  Licensure in a mental health related field required (RN, PhD, LCSW/ACSW, LPC, etc.)

Relevant Work Experience:   Minimum of 3 years of experience in psychiatric and substance abuse treatment.  Experience in settings that include inpatient, partial, and/or outpatient care preferred.

Knowledge, Skills & Abilities:

  • Customer service orientation

  • Strong written and verbal communication skills

  • Basic computer skills required, including Word and Excel

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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