Care Manager-crl

Company Name:
ValueOptions, Inc., a Beacon Health Options company
ValueOptions, Inc., a Beacon Health Options company
ValueOptions 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.
Position Location: TX - Coppell
AAP Reporting Location: TX - Coppell
ID: 33481
Job Family: Clinical, Licensed
FTE Status: Full time
Scheduled Weekly Work Hrs: 40
Workday Schedule: Weekdays Only
Workday Start Time: TBD
Workday End Time: TBD
Variable Work Schedule:
We are currently seeking a dynamic Care Manager to join our team in Texas. The Care Manager is a licensed, clinical professional that evaluates the appropriateness of treatment using professional knowledge of ValueOptions clinical policy and procedures and benefit plan requirements.
Position Responsibilities:
Completes telephone assessments and referrals; gathers demographic and clinical information to connect patient with appropriate provider, including outpatient treatment as necessary; and for emergency, urgent, routine and EAP referrals.
Reviews for medical appropriateness psychiatric/substance abuse cases utilizing professional knowledge to apply ValueOptions criteria and render certification decisions that are within the scope of practice that is relevant to the clinical areas under review.
Coordinates with other Care Managers and CRL Clinical Leadership to assure that patient comprehensive treatment needs are met.
Provides consultation to workplace on issues related to troubled employees, substance abuse cases, management referral, regulatory referrals, onsite training and debriefing services.
Maintains individual productivity and performance standards, as well as the telephone service standards which are in effect at the time.
Position Requirements:
Education : Minimum of Master's degree in mental health related discipline or a minimum of an associate's degree in nursing with related psychiatric nursing experience.
Licensure : Current, valid and unrestricted license in a State or territory of the United States in a mental health field (RN, Ph.D., LCSW, LMFT or LPC.)
Relevant Work Experience: At least three (3) years of direct practice experience in psychiatric or substance abuse treatment. Experience in settings that include inpatient, partial, and/or outpatient care preferred.

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