Care Manager

2 semanas atrás

Belém, Brasil Integrated Resources Inc. Tempo inteiro

Integrated Resources, Inc., is led by a seasoned team with combined decades in the industry. We deliver strategic workforce solutions that help you manage your talent and business more efficiently and effectively. Since launching in 1996, IRI has attracted, assembled and retained key employees who are experts in their fields. This has helped us expand into new sectors and steadily grow.

We’ve stayed true to our focus of finding qualified and experienced professionals in our specialty areas. Our partner-employers know that they can rely on us to find the right match between their needs and the abilities of our top-tier candidates. By continually exceeding their expectations, we have built successful ongoing partnerships that help us stay true to our commitments of performance and integrity.

Our team works hard to deliver a tailored approach for each and every client, critical in matching the right employers with the right candidates. We forge partnerships that are meant for the long term and align skills and cultures. At IRI, we know that our success is directly tied to our clients’ success.

Job Description

Description:

  • Under general supervision, and in collaboration with other members of the clinical team, the selected candidate will authorize and collect and analyze utilization data. Assist with discharge planning and ambulatory follow-up activities.
  • Provide member assistance with mental health and substance abuse issues, and participate in special quality improvement projects.

Duties:

  • Monitor inpatient and intermediate care services related to mental health and substance abuse treatment to ensure medical necessity and effectiveness.
  • Provide telephone triage, crisis intervention, and emergency authorizations as assigned.
  • Develop discharge plans in conjunction with providers and facilities, and oversee their implementation.
  • Perform concurrent reviews for inpatient care and other levels of care within scope of practice and experience.
  • Provide information to members and providers regarding mental health and substance abuse benefits, community resources, managed care programs, and company policies and procedures.
  • Interact with Physician Advisors to discuss clinical and authorization questions regarding specific cases.
Qualifications
  • Department hours: 8am – 6pm. The selected candidate will work from 8:30am – 5pm.
  • License: LCPC, LCSW, LSW, or RN.
  • Caseload: 20 calls/day.
  • The manager is looking for candidates with at least 1 year of Managed Care experience AND Drug & Alcohol experience.
  • Community resource experience is also desired.
  • Candidates must be comfortable working in a cubicle environment, typing and talking simultaneously, working in a fast-paced environment, and navigating multiple systems.
  • Must be computer literate.
Additional Information

All your information will be kept confidential according to EEO guidelines.

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