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CLINICAL CARE MANAGER / LICENSED CASE MANAGER

Company: Beacon Health Options
Location: Tacoma
Posted on: July 23, 2019

Job Description:

CLINICAL CARE MANAGER / LICENSED CASE MANAGER (State of Washington Clinical License in Behavioral Health or Nursing RN)LocationWA: TacomaJob FamilyClinical, LicensedJob BriefThe Care Manager will be responsible for authorizing and reviewing utilization of mental health and substance use services provided in inpatient and intermediate care settings; assists with discharge planning and ambulatory follow up activity.ABOUT THE POSITIONWe are currently seeking a dynamic Care Manager to join our team at our office in to join our team at our office in Pierce County Washington State.The Care Manager will be responsible for authorizing and reviewing utilization of mental health and substance use services provided in inpatient and intermediate care settings; assists with discharge planning and ambulatory follow up activity provides member assistance with mental health and substance use issues, and participates in special utilization projects.Position Responsibilities:Location: Tacoma, WA; Puyallup, WA; Lakewood, WA; Spanaway, WA

  • Performs telephonic care review and authorization determinations for prospective, concurrent and discharge review with psychiatric and substance use treatment facilities as assigned.
  • Determines appropriate level of care related to mental health and substance use treatment for members based on Beacon medical necessity level of care criteria.
  • Consults with Beacon Physician Advisors (PA) when requests for services do not meet medical necessity criteria.
  • Interacts with Physician Advisors to discuss clinical/authorization questions, alternative treatment options and concerns regarding specific cases.
  • Provides information to members and providers regarding mental health and substance use benefits and community treatment resources.
  • Recommends and arrange discharge plans, aftercare referrals and community resources when members have an inpatient psychiatric admission.
  • Consults with providers to assist members with transportation, employment and daily living needs as they relate to individualized care plans.
  • Works closely with nurse care managers, discharge planners, peers as well as local, regional and national team members.Job RequirementsEducation: Master's Degree or RNLicensure: Have either a current, valid, unrestricted independent license in behavioral health or nursing (RN) and practice within the scope of their licensure in the state of WashingtonRelevant Work Experience: Minimum of two (2) years of combined direct behavioral health clinical and managed care experienceKnowledge, Skills & Abilities:
    • Demonstrated experience establishing relationships and effectively engaging with members and providers through telephonic communication to obtain necessary information and facilitate care in multiple settings.
    • Demonstrated work experience to influence and negotiate to effectively manage patient care and health care outcomes.
    • Demonstrated work experience meeting strict deadlines and established cycle times through effective prioritization and follow-up skills.
    • Excellent communication skills, both verbal and written.
    • Demonstrated ability to relate effectively to behavioral health and medical treatment providers, members and family member and other professionals involved in the treatment of the member.
    • Familiarity with and ability to effectively utilize computer technology.
    • Familiarity with motivational interviewing is preferred.TO APPLYClick below on "Apply for this Position" to create a profile and apply for the positionBeacon Health Strategies, LLC., a Beacon Health Options company, is proud to be an Equal Opportunity Employer as well as a Drug Free Work Environment. EOE/M/F/Veterans/Disabled#CB$NFDPM16#LI-78990903_CF1AAP Reporting Location:CA - CypressID (Req #):55936FTE Status:Full TimeSchedule:Monday-FridayExempt PI111460342

Keywords: Beacon Health Options, Seattle , CLINICAL CARE MANAGER / LICENSED CASE MANAGER, Healthcare , Tacoma, Washington

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