Care Manager (Must have either CEAP, LCSW, LMFT, LMSW, LPC, or RN license)
Location: Atlanta
Posted on: June 23, 2025
|
|
|
Job Description:
Job Title: Remote Care Manager Pay: $40 an hr | Bi-weekly Job
Type: Remote in California Shift Options: M–F, 8/8:30 AM–4:40/5 PM
PST. Remote Care Manager Overview: JOB DESCRIPTION: 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. Interacts with
Physician Advisors to discuss clinical and authorization questions
and concerns regarding specific cases. Participates in quality
improvement activities, including data collection, tracking, and
analysis. Maintains an active work load in accordance with National
Care Manager performance standards. Works with community agencies
as appropriate. Proposes alternative plans of treatment when
requests for services do not meet medical necessity criteria.
Participates in network development including identification and
recruitment of quality providers as needed. Advocates for the
patient to ensure treatment needs are met. Interacts with providers
in a professional, respectful manner that facilitates the treatment
process. Licensure is required for this position, specifically a
current license that meets State, Commonwealth or customer-specific
requirements.
Keywords: , East Point , Care Manager (Must have either CEAP, LCSW, LMFT, LMSW, LPC, or RN license), Healthcare , Atlanta, Georgia
