Care Manager, BH – Youth

🕒 Outubro 24

🥔 Idaho – Remoto

🥔 Idaho – Remote

💵 $64.285 - $102.855 / ano

⏰ Tempo Integral

🟢 Júnior

🟡 Pleno

👔 Gerente

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Esta empresa já patrocinou vistos H1B no passado.

👻 Score fantasma 20%

O que significa: a chance de ninguém estar realmente contratando para esta vaga.Como ler: 60% ou mais significa que achamos que é uma vaga fantasma. Pontuações mais baixas preocupam menos.Por que essa pontuação:

• Aberta há 18 dias.
• As vagas desta empresa costumam ser preenchidas em 37 dias.
• Repostada 2 vezes.

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Magellan Health

SiteLinkedInTodas as Vagas

1001 - 5000 funcionários

💼 Consultoria

🛡️ Seguros

🏥 Saúde

💰 $101.000.000 Private Equity Round em 2004-01

Consulting • Insurance • Healthcare

A Magellan Health é uma empresa líder em gestão de saúde que oferece uma gama de serviços, incluindo saúde comportamental, gestão de farmácia e programas de assistência aos funcionários. A empresa foca em oferecer cuidados e suporte de alta qualidade para indivíduos e famílias, especialmente aqueles em ambientes militares e comunitários. A Magellan Health enfatiza o serviço personalizado e soluções inovadoras para melhorar os resultados de saúde e aprimorar a experiência geral do paciente.

Descrição

• Authorize and review utilization of mental health and substance abuse services in inpatient and/or outpatient care settings • Collect and analyze utilization data • Assist with discharge planning and care coordination • Provide member assistance for mental health and substance abuse issues • Participate in quality improvement projects • Monitor levels of care to ensure medical necessity and effectiveness • Provide telephone triage, crisis intervention, and emergency authorizations • Perform concurrent reviews for inpatient, outpatient, and other permitted levels of care • Develop discharge plans with providers and facilities and oversee implementation • Perform quality clinical reviews and educate members and providers • Provide information about behavioral health benefits, community resources, managed care programs, policies, procedures, and criteria • Interact with Physician Advisors about clinical and authorization questions • Maintain workload according to National Care Manager performance standards • Work with community agencies and propose alternative treatment plans when services do not meet medical necessity criteria • Participate in network development, including identifying and recruiting quality providers • Advocate for patients and interact professionally with providers

🎯 Requisitos

• Current license meeting State, Commonwealth, or customer-specific requirements • One or more of CEAP, LMSW, LCSW, LSW, LPC, or RN licensure with necessary degrees • Minimum 2 years of experience post degree in healthcare, behavioral health, psychiatric, and/or substance abuse healthcare settings • Strong organization, time management, and communication skills • Knowledge of utilization management procedures, mental health and substance abuse community resources and providers • Knowledge and experience in inpatient and/or outpatient settings • Knowledge of DSM V or the most current diagnostic edition • Ability to analyze utilization problems and plan and implement solutions influencing quality of care • Idaho licensure required; candidates residing outside Idaho also require a license in their state of residence and an Idaho license • Required education options: Associate in Nursing, Bachelor's in Social Work, or Master's in Social Work

🏖️ Benefícios

• Short-term incentive eligibility • Comprehensive benefits package • Health benefits • Life benefits • Voluntary benefits • Other benefits and perks supporting physical, mental, emotional, and financial wellbeing • Tobacco-free workplace

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