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BH Care Manager in San Diego, CA at Pride Health

Date Posted: 10/30/2018

Job Snapshot

  • Employee Type:
    Full-Time
  • Location:
    San Diego, CA
  • Experience:
    Not Specified
  • Date Posted:
    10/30/2018

Job Description

PRIDE Health has immediate openings for a BH Case Manager to join a healthcare facility in San Diego, CA.  



Duties

  • Monitors inpatient and/or outpatient level of care services related to mental health and substance abuse treatment to ensure medical necessity and effectiveness.
  • Provides telephone triage, crisis intervention and emergency authorizations as assigned.
  • Performs concurrent reviews for inpatient and/or outpatient care and other levels of care as allowed by scope of practice and experience. 
  • In conjunction with providers and facilities, develops discharge plans and oversee their implementation. 
  • Performs quality clinical reviews while educating and making appropriate interventions to advance the care of the member in treatment.
  • Provides information to members and providers regarding mental health and substance abuse benefits, community treatment resources, mental health managed care programs, and company policies and procedures, and criteria.


Skills & Qualifications

  • Master's degree required
  • LCSW, LPC, or LMFT license required
  • Strong organization, time management and communication skills.
  • Minimum 2 years experience post degree in healthcare, behavioral health, psychiatric and/or substance abuse health care setting
  • Knowledge of utilization management procedures, mental health and substance abuse community resources and providers

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