Care Manager, BH – Louisiana License Required
Job Description:
- Authorizes and reviews utilization of mental health and substance abuse services in inpatient and/or outpatient care settings.
- Collects and analyzes utilization data.
- Assists with discharge planning and care coordination.
- Provides member assistance with mental health and substance abuse issues.
- Monitors inpatient and/or outpatient level of care services to ensure medical necessity and effectiveness.
- Performs concurrent reviews for inpatient and/or outpatient care.
- Develops discharge plans in conjunction with providers and facilities and oversees their implementation.
- Provides information to members and providers regarding mental health and substance abuse benefits.
Requirements:
- Licensure is required for this position, specifically a current license that meets State, Commonwealth or customer-specific requirements.
- One or more of the following licensure is required for this role with necessary degrees: CEAP, LMSW, LCSW, LSW, LPC or RN.
- Minimum 2 years experience post degree in healthcare, behavioral health, psychiatric and/or substance abuse health care setting.
- 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.
Benefits:
- Health insurance
- Life insurance
- 401(k) matching
- Flexible work hours
- Paid time off
