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Care Manager BH(BHJOB1435_24363)

Astyra Corporation Maryland Heights, MO
  • Expired: over a month ago. Applications are no longer accepted.

Care Manager BH

Our client is seeking an individual to Under general supervision, and in collaboration with other members of the clinical team, authorizes and reviews utilization of mental health and substance abuse services provided in inpatient and/or outpatient care settings. Collects and analyzes utilization data. Provides member assistance with mental health and substance abuse issues, and participates in special quality improvement projects.

ESSENTIAL FUNCTIONS:

  • Provides telephone triage, crisis intervention and emergency authorizations as assigned.
  • May also perform 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 by 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.

MINIMUM REQUIREMENTS:

  • State Licensure: LPC, LCSW
  • Master's level - Two year's clinical work experience.
  • 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.

Requirements/Certifications:

  • Licensure is required for this position, specifically current license as a Masters or Doctoral-level behavioral health practitioner that meets State, Commonwealth or customer-specific requirements.
  • Minimum 2 years experience post degree in healthcare, behavioral health, psychiatric and/or substance abuse health care setting.
  • Licensure may also include one or more of the following: CEAP, LCSW or LPC.
  • Ability to meet credentialing requirements for independent professional practice IF performing TRF reviews (Masters level licensed behavioral health professional).
  • 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.
  • Clinical LPC - Licensed Professional Counselor - Care Mgmt LCSW - Licensed Clinical Social Worker - Care Mgmt
  • Masters(Required)

This position is Contract to hire-Must be licensed in MO

Start Time: 09:00 AM

End Time: 05:30 PM

Astyra Corporation

Why Work Here?

Innovative, growing industry with smart ideas, ingenuity and never settling for failure!

Astyra Corporation is a staffing and consulting company that is locally owned and operated right here in the heart of RVA. Astyra offers a unique approach to solving the business challenges of its clients. After being in business for over 20 years, we have evolved and grown - smart ideas, ingenuity and never settling for failure are our hallmark traits. We are locals with a national presence and need a like-minded; client-focused professional who wants to make a difference every day.

Address

14100 Magellan Plaza Dr Maryland Heights Missouri 63043
Maryland Heights, MO
USA