Care Manager - BH (Onsite, PA, Hollidaysburg)
Core
Authorizes and reviews utilization of mental health and substance abuse services in inpatient and outpatient settings, manages discharge planning, and provides crisis intervention.
Role type
Senior clinical care manager (behavioral health)
Builds
Utilization management decisions and care coordination plans for behavioral health members
Domain
Behavioral health / Mental health / Substance abuse
Deliverable
client delivery
Required skills
Utilization management, discharge planning, crisis intervention, quality improvement analysis, network development, DSM-V knowledge
Preferred skills
Experience with inpatient/outpatient settings, knowledge of community treatment resources
Technologies
None stated
Responsibilities
Monitor level of care services for medical necessity; perform telephone triage and emergency authorizations; conduct concurrent reviews; develop and oversee discharge plans; participate in quality improvement data analysis; interact with Physician Advisors; advocate for patient treatment needs; propose alternative treatment plans when necessary.
Seniority
Mid-level, hands-on IC