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Behavioral Health - Care Manager at A-Line Staffing Solutions

Behavioral Health - Care Manager

A-Line Staffing Solutions Dallas, TX Full-Time
$30.00 - $33.00 / hour
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Now Hiring Behavioral Health Care Manager for a top Health Plan/Managed Care Company, located near the Dallas, TX area. You must have independent behavioral health license, as this opportunity will not allow for hours towards license. Please apply directly for consideration. Damian Sroka

Required License: Must be Independently licensed

  • LPC, LCSW, LMFT, and RN.

Salary Range: $31.00 to $33.00 per hour (possible increase after 90 days)

Hours: Full-Time 40 hours per week - Monday to Friday - 8:00 AM to 5:00 PM

Position Purpose:

  • Authorize, direct and monitor care for mental health and substance abuse problems according to clinical information given by providers and internal criteria for medical necessity and appropriateness of care.
  • Ensure compliance with all performance measures in regards to appeals, denials, higher level of care admission certification and concurrent review timeliness, Outpatient Treatment Report review timeliness, readmissions, and others as indicated.
  • Interact with physicians and social workers for discharge planning.
  • Direct and coordinate follow-up to ensure plans for continuity of care and adherence to HEDIS standards.
  • Compile and report daily review activity and facility statistics.
  • Participate in quality improvement activities, supporting network development and interfacing with treatment facilities and the professional community.
  • Verify subscriber eligibility and existing benefits for mental health and substance treatment, prior to authorizing all levels of treatment including concurrent outpatient.
  • Track benefit usage and advise appropriate parties of exhaustion of benefits
  • Interact with Medical Director or designee to discuss clinical authorization questions and concerns regarding specific cases.

Required Experience:

  • 5-7 years of Behavioral Health experience in crisis interventions, case management, behavioral interventions, therapy, assessment and intake, or related area.
  • Master’s degree in Behavioral Health or have nursing degree with RN license
  • Managed Care or Health Plan experience with providers

Apply Directly to this Posting for Consideration!! - Damian Sroka

Behavioral Health Professional, BH, Licensed Clinical Social Worker, LCSW, Licensed Marital Family Therapist, LMFT, Licensed Professional Counselor, LPC, Behavioral Health Crisis, crisis assessments, intake, patient intake, recovery, patient education, community resources, discharge planning, therapy, Behavioral Health Education, Psychology, Psychologist, Substance Abuse, Social Worker, Counselor case manager, case management, care manager, care management, nurse case manager, telephonic case manager, in office case manager, home health, community resources, patient education, discharge planning, medical management, assessments, authorizations, risk management, quality care, clinical care, acute care, chronic care, managed care, insurance, OASIS, medical care, cost containment, treatment plans, budget management, utilization review, utilization management, med /surg, medical surgical, ICU, intensive care unit, family education, patient, patient health, healthcare, hospital discharges, telephonic, telephonic nursing jobs

Recommended skills

Mental Health
Utilization Management
Case Management
Behavioral Health
Managed Care
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