Innova Solutions
Overview
Innova Solutions has a client that is immediately hiring for Care Manager. Job Posting Title :
Care Manager Duration :
3+ Months Work Location :
Remote Position type :
Contract Responsibilities
Monitors inpatient and / or outpatient level of care services related to mental health and substance abuse treatment to ensure medical necessity and effectiveness. Provides telephone triage, crisis intervention and emergency authorizations as assigned. Performs concurrent reviews for inpatient and / or outpatient care and other levels of care as allowed by scope of practice and experience. In conjunction with providers and facilities, develops discharge plans and oversee their implementation. Performs quality clinical reviews while educating and making appropriate interventions to advance the care of the member in treatment. Provides 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, and criteria. Interacts with Physician Advisors to discuss clinical and authorization questions and concerns regarding specific cases. Participates in quality improvement activities, including data collection, tracking, and analysis. Maintains an active work load in accordance with National Care Manager performance standards. Works with community agencies as appropriate. Proposes alternative plans of treatment when requests for services do not meet medical necessity criteria. Participates in network development including identification and recruitment of quality providers as needed. Advocates for the patient to ensure treatment needs are met. Interacts with providers in a professional, respectful manner that facilitates the treatment process. Qualifications
Licensure is required for this position, specifically a current license that meets State, Commonwealth or customer-specific requirements. One or more of the following licensure is required for this role with necessary degrees: CEAP, LMSW, LCSW, LPC, RN. Minimum 2 years 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 setting. Knowledge of DSM V or most current diagnostic edition. Ability to analyze specific utilization problems, plan and implement solutions that directly influence quality of care. Certification / Degree Requirements: CA state RN License Top Skills
Tech Savy Basic computer literacy Behavioral health experience Crisis management Psychiatric or UM experience Certifications Required
Must have one of the following: CEAP - Certified Employee Assistance Professional LCSW - Licensed Clinical Social Worker LMFT - Licensed Marriage and Family Therapist LMSW - Licensed Master Social Worker LPC - Licensed Professional Counselor RN - Registered Nurse State and / or Compact State Licensure Education: Associates : Nursing, Bachelors : Social Work, Masters : Social Work (Required) Pay & Benefits
Pay Range :
$38 - $40.00 per hour. Pay range offered to a successful candidate will be based on several factors, including the candidate's education, work experience, work location, specific job duties, certifications, etc. Benefits : Innova Solutions offers benefits (based on eligibility) that include: Medical & pharmacy coverage, Dental / vision insurance, 401(k), Health saving account (HSA) and Flexible spending account (FSA), Life Insurance, Pet Insurance, Short term and Long term Disability, Accident & Critical illness coverage, Pre-paid legal & ID theft protection, Sick time, and other types of paid leaves (as required by law), Employee Assistance Program (EAP). We are currently interviewing to fill this and other similar positions. If this role is not a fit for you, we do offer a referral bonus program for referrals that we successfully place with our clients, subject to program guidelines. ASK ME HOW Thank you! ANUJ TIWARI 1) 470 289 4406
#J-18808-Ljbffr
Innova Solutions has a client that is immediately hiring for Care Manager. Job Posting Title :
Care Manager Duration :
3+ Months Work Location :
Remote Position type :
Contract Responsibilities
Monitors inpatient and / or outpatient level of care services related to mental health and substance abuse treatment to ensure medical necessity and effectiveness. Provides telephone triage, crisis intervention and emergency authorizations as assigned. Performs concurrent reviews for inpatient and / or outpatient care and other levels of care as allowed by scope of practice and experience. In conjunction with providers and facilities, develops discharge plans and oversee their implementation. Performs quality clinical reviews while educating and making appropriate interventions to advance the care of the member in treatment. Provides 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, and criteria. Interacts with Physician Advisors to discuss clinical and authorization questions and concerns regarding specific cases. Participates in quality improvement activities, including data collection, tracking, and analysis. Maintains an active work load in accordance with National Care Manager performance standards. Works with community agencies as appropriate. Proposes alternative plans of treatment when requests for services do not meet medical necessity criteria. Participates in network development including identification and recruitment of quality providers as needed. Advocates for the patient to ensure treatment needs are met. Interacts with providers in a professional, respectful manner that facilitates the treatment process. Qualifications
Licensure is required for this position, specifically a current license that meets State, Commonwealth or customer-specific requirements. One or more of the following licensure is required for this role with necessary degrees: CEAP, LMSW, LCSW, LPC, RN. Minimum 2 years 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 setting. Knowledge of DSM V or most current diagnostic edition. Ability to analyze specific utilization problems, plan and implement solutions that directly influence quality of care. Certification / Degree Requirements: CA state RN License Top Skills
Tech Savy Basic computer literacy Behavioral health experience Crisis management Psychiatric or UM experience Certifications Required
Must have one of the following: CEAP - Certified Employee Assistance Professional LCSW - Licensed Clinical Social Worker LMFT - Licensed Marriage and Family Therapist LMSW - Licensed Master Social Worker LPC - Licensed Professional Counselor RN - Registered Nurse State and / or Compact State Licensure Education: Associates : Nursing, Bachelors : Social Work, Masters : Social Work (Required) Pay & Benefits
Pay Range :
$38 - $40.00 per hour. Pay range offered to a successful candidate will be based on several factors, including the candidate's education, work experience, work location, specific job duties, certifications, etc. Benefits : Innova Solutions offers benefits (based on eligibility) that include: Medical & pharmacy coverage, Dental / vision insurance, 401(k), Health saving account (HSA) and Flexible spending account (FSA), Life Insurance, Pet Insurance, Short term and Long term Disability, Accident & Critical illness coverage, Pre-paid legal & ID theft protection, Sick time, and other types of paid leaves (as required by law), Employee Assistance Program (EAP). We are currently interviewing to fill this and other similar positions. If this role is not a fit for you, we do offer a referral bonus program for referrals that we successfully place with our clients, subject to program guidelines. ASK ME HOW Thank you! ANUJ TIWARI 1) 470 289 4406
#J-18808-Ljbffr