Care Manager, BH – Louisiana License Required

🕒 il y a 3 jours

⚜️ Louisiana – Distant

⚜️ Louisiana – Remote

💵 $64 285 - $102 855 / an

⏰ Temps Plein

🟢 Junior

🟡 Intermédiaire

👔 Manager

👻 Score fantôme 0%

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Magellan Health

Site WebLinkedInTous les Emplois

1001 - 5000 employés

🏥 Santé

⚕️ Assurance santé

💰 €101 000 000 Private Equity Round - Magellan Health Services en 2004-01

Healthcare • Healthcare Insurance

Magellan Health est une organisation de santé axée sur les services de santé comportementale et la gestion des soins. L'entreprise fournit des gestionnaires de soins cliniques, des conseillers en vie militaire et familiale, et des services de santé comportementale à travers des programmes régionaux (par exemple, Magellan Hawai‘i, Magellan du Nouveau-Mexique), et soutient la coordination des traitements pour les troubles de santé mentale et la toxicomanie. Elle propose également des programmes de soutien aux familles militaires et à d'autres clients institutionnels, indiquant un travail dans la gestion de la santé comportementale et la coordination des soins.

Description

• 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 with mental health and substance abuse issues • Participate in special 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 and/or outpatient care and other levels of care within scope of practice and experience • Develop discharge plans with providers and facilities and oversee implementation • Perform quality clinical reviews and educate members and providers • Provide information about benefits, community treatment resources, managed care programs, policies, procedures, and criteria • Interact with Physician Advisors regarding clinical and authorization questions • Participate in quality improvement activities, including data collection, tracking, and analysis • 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

🎯 Exigences

• Candidates must be licensed in Louisiana • Current license meeting State, Commonwealth, or customer-specific requirements • One or more required licenses/certifications: CEAP, LMSW, LCSW, LSW, LPC, LMFT, or RN with necessary degrees • Minimum 2 years of experience post degree in healthcare, behavioral health, psychiatric, and/or substance abuse health care setting • 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 most current diagnostic edition • Ability to analyze utilization problems and plan and implement solutions that influence quality of care • Required education: Associate in Nursing, Bachelor's in Social Work, or Master's in Social Work

🏖️ Avantages

• Short-term incentives may be available • Comprehensive benefits package • Health benefits • Life benefits • Voluntary benefits • Other benefits and perks supporting physical, mental, emotional, and financial wellbeing • Equal Opportunity Employer • Tobacco-free workplace