Care Manager - BH (Onsite, Hollidaysburg, PA)
Core
Authorizes and reviews utilization of mental health and substance abuse services for inpatient and outpatient care, ensuring medical necessity and effectiveness.
Role type
Senior clinical care manager (behavioral health)
Builds
Member care plans and treatment authorization workflows
Domain
Healthcare + Behavioral Health
Deliverable
client delivery
Required skills
Utilization management, discharge planning, crisis intervention, quality improvement analysis, network development, DSM-V knowledge
Preferred skills
Maternity population experience, inpatient/outpatient setting experience
Technologies
None stated
Responsibilities
Authorize and review mental health/substance abuse service utilization; perform telephone triage and crisis intervention; 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 medical necessity criteria are not met.
Seniority
Mid-level, hands-on IC