Care Manager BH (Onsite, PA, Hollidaysburg)
Core
Authorizes and reviews utilization of mental health and substance abuse services for inpatient and outpatient care settings, ensuring medical necessity and effectiveness.
Role type
Senior Care Manager (Behavioral Health)
Builds
Utilization management decisions and care coordination plans for behavioral health members
Domain
Healthcare / Behavioral Health / Utilization Management
Required skills
Utilization management, discharge planning, crisis intervention, quality improvement, data analysis, network development, DSM-V knowledge
Preferred skills
Experience in inpatient/outpatient settings, knowledge of community treatment resources
Technologies
None stated
Responsibilities
Monitor level of care services, perform telephone triage and emergency authorizations, conduct concurrent reviews, develop and oversee discharge plans, perform quality clinical reviews, educate providers and members, participate in quality improvement activities, maintain active workload, work with community agencies, propose alternative treatment plans, advocate for patients
Seniority
Mid-level, hands-on IC