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Care Manager
2 meses atrás
We are seeking a highly skilled and experienced Care Manager to join our team at Integrated Resources, Inc. As a Care Manager, you will play a critical role in ensuring the delivery of high-quality, patient-centered care to our members.
Key Responsibilities- Authorization and Utilization Review: Under general supervision, you will authorize and collect and analyze utilization data to ensure medical necessity and effectiveness of inpatient and intermediate level of care services related to mental health and substance abuse treatment.
- Member Assistance and Support: You will provide member assistance with mental health and substance abuse issues, and participate in special quality improvement projects.
- Discharge Planning and Ambulatory Follow-up: You will assist with discharge planning and ambulatory follow-up activity, ensuring a smooth transition of care for our members.
- Clinical Decision Making: You will use your clinical expertise to make informed decisions regarding member care, working closely with providers and facilities to develop and implement effective discharge plans.
- Communication and Collaboration: You will provide information to members and providers regarding mental health and substance abuse benefits, community treatment resources, mental health managed care programs, and company policies and procedures.
- Quality Improvement: You will participate in special quality improvement projects, working collaboratively with the clinical team to identify areas for improvement and implement evidence-based solutions.
- Education and Experience: A minimum of 1 year of Managed Care experience AND Drug & Alcohol experience is required. A License in LCPC, LCSW, LSW, or RN is also required.
- Caseload and Work Environment: You will work in a fast-paced environment, managing a caseload of 20 calls per day. You must be comfortable working in a cubicle environment, typing and talking simultaneously, and navigating through multiple systems.
- Computer Literacy: You must be computer literate and proficient in using various software systems.
At Integrated Resources, Inc., we offer a competitive salary and benefits package, as well as opportunities for professional growth and development. If you are a motivated and experienced Care Manager looking for a new challenge, we encourage you to apply for this exciting opportunity.
