UM Care Manager, Access Line - Northeast Region in Boston, MA at Beacon Health Options

Date Posted: 10/15/2018

Job Snapshot

Job Description

About the Position:

We are currently seeking a dynamic UM Care Manager to work on our Access Line for our Utilization Management team! The UM Access Line Care Manager works with providers and treatment teams to review and assess appropriate levels of care, and ensure members are receiving care that appropriately meets their clinical criteria and the members’ needs.

*This is a remote / work from home position for applicants licensed in Massachusetts*

Position Responsibilities:

  • Make clinical decisions related to assessment, referral, coordination of care, and appropriateness of care for members seeking access to their benefits for Mental Health or Substance Abuse services for all levels of care covered by contracts
  • Meet departmental standards related to clinical documentation, clinical policies and procedures, accreditation and regulatory standards and contract compliance
  • Actively participate in clinical rounds/case review process, and seeks consultation with the Clinical Director and Medical Director
  • As necessary, provide clinical oversight and consultation for non-clinical, unlicensed staff members
  • Actively participate in designated processes for managing the care of high-risk members

Position Requirements:

  • Education: Master’s degree in social work, psychology, mental health, nursing, or other related field required
  • Licensure:  Current, valid, unrestricted clinical license in Massachusetts (incl. LMHC, LICSW, LMFT, RN, PhD.) required in the state of Massachusetts
  • Relevant Work Experience:  1 year post-licensure clinical experience providing direct care required
  • Knowledge, Skills & Abilities:
    • Critical thinking skills and ability to work independently
    • Computer and typing skills necessary
    • Must be able to work one weekend shift per month
    • Potential work from home opportunity after in office training

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