Skip navigation
Unable to save this job. Please try again later.

{msg}

Email this Job to Yourself or a Friend

To begin the application process, please enter your email address.

Company Contact Info

Already have an account?

Sign in to apply with your saved resumes.

New to CareerBuilder?

Don't have an account? Continue as a guest!

Sorry, we cannot save or unsave this job right now.

Report this Job

Trust and Site Security Team.

Don't miss out on new jobs!

Get the latest Social Work Case Manager jobs in US-Nationwide delivered directly to your inbox. You can unsubscribe at any time.

Saving Your Job Alert

Job Alert Saved!

Could not save Job Alert!

You have too many Job Alerts!

This email address has reached the maximum of 5 email alerts. To create a new alert, you will need to log into your email and unsubscribe from at least one.

Sign Up

or   Sign In Here
Password Must Contain
• 
8 to 15 characters
• 
1 uppercase letter
• 
1 number or symbol
• 
1 lowercase letter
Cancel
Create an Account with CareerBuilder to save jobs & unlock these great features
See similar job titles and skills to help you make your next move
Upload a resume and become visible to Hiring Managers and Employers
Compare Salary Information to see where you stand amongst your peers
Easily Quick Apply to jobs with just one click!

Email Send Failed!

Value Recovery Coordinator – Care Manager ICM

Beacon Health Options • US-Nationwide

Posted 26 days ago

Job Snapshot

Full-Time
Experience - 3 years
Degree - 2 Year Degree
Other Great Industries
Health Care, Management

Job Description

ABOUT THE POSITION

We are currently seeking a dynamic Value Recovery Coordinator – Care Manager ICM to join our team at our office in Oil City or Meadville, PA!  The Value Recovery Coordinator – Care Manager ICM will conduct telephone assessments, collecting sufficient data to make appropriate referral and authorization decision for emergency, urgent, and routine levels of care.  Makes appropriate utilization management decisions.  Collaborates with providers to determine alternate levels of care and to facilitate transfers to network facilities and providers whenever possible.  Facilitates coordination of care with other service managers and aftercare coordinators to assure continuity of care.  Evaluates clinical appropriateness of treatment using professional knowledge within VBH-PA medical necessity guidelines and renders authorization decisions or seeks peer advisor consultations for non-authorization decisions.

***Prefer a candidate that lives in the Oil City or Meadville, PA area.

Position Responsibilities:

-Completes telephone assessments and referrals; gathers demographic and clinical information to connect member with appropriate provider, including outpatient treatment as necessary; and for emergency, urgent, and routine referrals

-Reviews for medical appropriateness psychiatric/substance abuse cases utilizing professional knowledge to apply VBH-PA criteria and renders authorization decisions

-Coordinates with other Care Managers to assure those members’ comprehensive treatment needs are met

-Applies utilization management policies and procedures for determination of initial, concurrent and retrospective review

-Refers cases that do not meet criteria and need non-authorization decision to Peer Advisor

-Utilizes rounds and case consultations to Clinical Supervisor and Peer Advisor for quality of care cases

-Ensures continuity of patient care through contact with providers and assigned individuals

-Clinical documentation to reflect recovery principles, active and longitudinal care management interventions and quality of care issues.

-Completes monthly referral registrations to meet quantitative and qualitative standards

-Participates in customer service assessment activities, including telephone and medical record audits.
-10% travel required to meet with our members in an inpatient acute mental health setting in Crawford, Mercer, and Venango counties.

Position Requirements:

Education: Master’s Degree in a mental health related field required (or Associates Degree with RN license)  
Licensure:  This position requires licensure in a mental health related field (RN, Ph.D., LPC, LCSW/ACSW, etc.)
Relevant Work Experience:   Minimum of 3 years of experience in psychiatric and substance abuse treatment.  Experience in settings that include inpatient, partial, and/or outpatient care preferred

TO APPLY

Click below on “Apply for this Position” to create a profile and apply for the position

Beacon Health Options is proud to be an Equal Opportunity and Affirmative Action Employer as well as a Drug Free and Tobacco Free Work Environment. EOE/AA/M/F/Veterans/Disabled

At Beacon Health Options, our candidate's data privacy is a top priority. Our recruiting team conducts all communications using official company email (@BeaconHealthOptions.com). Only candidates who have applied for an open position through our Careers page (careers.beaconhealthoptions.com) will be engaged in our interview process. Beacon conducts all interviews in person or over the phone. At no time during the recruiting process will any Beacon recruiter request any financial or personally identifiable information from you.

$REM
#GD
#CB
PM16

Job ID: 57548
Help us improve CareerBuilder by providing feedback about this job: Report this Job.
CAREERBUILDER TIP
For your privacy and protection, when applying to a job online, never give your social security number to a prospective employer, provide credit card or bank account information, or perform any sort of monetary transaction. Learn more.
By applying to a job using CareerBuilder you are agreeing to comply with and be subject to the CareerBuilder Terms and Conditions for use of our website. To use our website, you must agree with the Terms and Conditions and both meet and comply with their provisions.
Don't miss out on new jobs like this
Get the latest jobs delivered to your inbox. Unsubscribe at any time.

Saving Your Job Alert

Job Alert Created

Well, this is embarrassing. We are having trouble saving your search. You can try again or come back at a later time.

Maximum Email Alerts

This email address has reached the maximum of 5 email alerts. To create a new alert, you will need to log into your email and unsubscribe from at least one.

More Jobs at Beacon Health Options

View All Similar Jobs View All Similar Jobs