Icon hamburger
US
What job do you want?
Apply to this job.
Think you're the perfect candidate?
Apply on company site

You’re being taken to an external site to apply.

Create an account to get recommended jobs that match your resume and apply to multiple jobs in seconds!
On the next page, you'll build a resume in 3 steps thanks to our AI technology
8-15 characters
Contains Number
Contains Lowercase
Contains Uppercase
Contains Special Character
Thumsup

You’re being taken to an external site to apply.

Enter your email below to receive job recommendations for similar positions.
Default1

Care Manager - CNS (nights/weekends)

Beacon Health Options Remote, NY Full-Time
Apply on company site

Beacon is currently seeking a Clinical Care Manager to join our Central Night Services team based remotely! 

MUST HOLD ACTIVE CALIFORNIA MENTAL/BEHAVIORAL HEALTH LICENSE

This position provides assessments, referrals and counseling. Conducts telephone assessments, collecting sufficient clinical information to make appropriate referral and certification decision for emergency/urgent referrals that require alternate levels of care. Makes appropriate certification 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 managers to assure continuity of care. Evaluates clinical appropriateness of treatment using professional knowledge within Beacon Health Options clinical and work site guidelines. Will render certification decisions, or seeks consultations for non-certification decisions. Will facilitate all tracking necessary quality indicators to meet these necessary accrediting bodies (NCQA, URAC). Directs members to an appropriate therapist or EAP provider. Clinical Care Manager refers cases to MD, or management on a regular basis to determine whether treatment meets Beacon Health Options criteria for medical necessity. Establishes and delivers knowledge about care resources and levels of care availability. Special projects and all other duties as assigned.

What does a typical day look like?

Triage Assessment and Referral

Complete telephone assessments and referral; gathers demographic and clinical information to connect patient with appropriate provider, including outpatient treatment as necessary; and for emergency, urgent, routine and EAP referrals. Provide appropriate referrals for treatment based in assessment of information gathered during telephone contacts and or on-site with providers. Refer cases that do not meet criteria and need non-cert., to Peer Advisors. Manage release of MHSA benefit provided by carrier for designated group. Ask questions and listen to member in order to assess case and determine needs. Give referral and/or make referral appointment as circumstances warrant.

Clinical Reviews

Review for medical appropriateness psychiatric/substance abuse cases utilizing professional knowledge to apply Beacon Health Options criteria and render certification decisions that are within the scope of practice that is relevant to the clinical area under review. Provide reviews for predetermination of medical necessity. Review proposed courses of treatment for medical necessity. Utilize rounds and case consultations to Clinical Supervisor and Peer Advisor for cases outside criteria or not progressing.

Customer Service

Interface with internal and external customers to maintain optimal efficiency of service. Maintain telephone superior service standards. Contribute to monthly staff meetings and clinical conferences. Attend appropriate meetings, trainings and conference calls as scheduled. Perform all other aspects of customer service as required. Conduct business in a professional manner. Troubleshoot Clinical issues. Investigate and research to resolve customer complaint problems and issues.

What you Contribute?

Education: Masters’ degree in social work or psychology or a Bachelor’s level RN.

Licensure: Must have a current, valid and unrestricted state license in a mental health field (RN, Ph.D., LCSW/ACSW/LMSW, LLP, MHC, LPC, etc.).  May be required to obtain additional state licensures dependent on client contractual requirements

Relevant Work Experience: A minimum of 3 years’ experience in psychiatric or substance use treatment. Experience in settings that include inpatient, partial, and/or outpatient care preferred. Experience as a CEAP or EAP internal/external consultant to a work site area required (for the integrated unit.

What Makes Us Different?

  • Here, it’s not just a job – it’s an opportunity to change lives.
  • Our employees are learners, innovators and original
  • Our mission and values guide the way we treat our members, providers and each other.

What We Have to Offer:

  • Healthcare benefits available starting day 1!
  • Health & well-being incentives, such as gym membership reimbursement
  • 401K with company match to help reach your future financial goals
  • Generous PTO, because we know life happens outside of work
  • Tuition reimbursement so you can keep reaching your fullest potential

If Beacon sounds like the place for you, what are you waiting for? Apply with us today to get started!

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.

#GD

#CB

$REM

 

Recommended skills

Mental Health
Licensed Clinical Social Worker (Lcsw)
Certified Social Workers Credential
Licensed Master Social Worker
Licensed Professional Counselor (Lpc)
Certified Employee Assistance Professional
Apply to this job.
Think you're the perfect candidate?
Apply on company site

Help us improve CareerBuilder by providing feedback about this job: Report this job

Report this Job

Once a job has been reported, we will investigate it further. If you require a response, submit your question or concern to our Trust and Site Security Team

Job ID: CAREM02253

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.