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Senior Care Manager - BH
Ref No.: 18-07704
Location: Tampa, Florida
Position Type:Contract
Start Date / End Date: 07/23/2018 to 12/31/2018
Description:
Authorizes and reviews utilization of mental health and substance abuse services provided in inpatient and intermediate care settings. Collects and analyzes utilization data. Assists with discharge planning and ambulatory follow up activity; provides member assistance with mental health and substance abuse issues, and participates in quality improvement projects. May be assigned additional special responsibilities commensurate with experience and type of licensure. Will be expected to coach and mentor less experienced Care Managers.

ESSENTIAL FUNCTIONS:
- Monitors inpatient and intermediate level of care services related to mental health and substance abuse treatment to ensure medical necessity and effectiveness.
- Performs concurrent reviews for inpatient 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. Provides telephone triage, crisis intervention and emergency authorizations.
- Provides information to members and providers regarding mental health and substance abuse benefits, community treatment resources, mental health managed care programs, and Client Health Services policies and procedures, and criteria.
- Interacts with the company Medical Directors and others to discuss clinical and authorization questions and concerns regarding specific cases.
- Participates in quality improvement activities, including data collection, tracking, and analysis.
- Leads or participates in activities as requested that help improve Care Center performance, excellence and culture. Supports team members and participates in team activities to help build a high-performance team.
- TRFs to be reviewed by Masters level Care Manager only. RNs may perform all other related duties.

Requirements/Certifications:
Contract through the end of the year with possibility to go permanent

Education/Licensure Requirements:
Master's Level of Education with LCSW preferred
Registered Nurse is also an acceptable level of credentials with Behavioral Health Experience

Requirements:
Must be computer-savvy since they will be navigating a computer program, as well as Microsoft Office applications
Resource will be provided with equipment, but must have high-speed internet at home (internet can not be written off as an expense) - they do not need to have previous remote experience as long as they have a home office area