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Behavioral Health Case Manager

A Line Staffing Solutions

This is a Contract position in Philadelphia, PA posted October 13, 2021.

Now hiring for a Top Healthcare / Managed Care company working remotely or from home whom are in need of an experienced Behavioral Health Case Manager to become a part of the team, for an remote/work from home position to start but will return to in office once safe to return.

Please apply directly for consideration.

Damian Sroka / / Text: (847) 220-5241 Position will be remote or work from home
– must live near the West Allis, WI area Pay/Hours: Pay Rate: $38.00 to $40.00 per hour (possible pay increase after 90 days) Hours: Full time – Monday
– Friday 40 hour 8:00 a.m.

– 5:30 p.m.

Job Description: .

High acuity health members.

Health risk assessments, they will reach out and do a care plans, bi weekly or monthly Contacts medical team members to discuss patient’s course of progress and needs.

Arranges for and coordinates health care team services, avoiding duplication and conserving benefit dollars.

Evaluates need for and authorizes equipment, supplies, and services.

Identifies problems and acts to anticipate and avoid complications.

Instructs patient and family in proper care and refers patient back to physician or other health care team members as needed.

Identifies plateaus, improvements, regressions and depressions, and counsels accordingly.

Coordinator of Care Conducts hospital visits.

Confers with physician to clarify diagnosis, prognosis, therapies, daily living activities, and to share information.

Authorizes recommended modalities of treatment.

Investigates and suggests alternatives appropriately.

Documents case summary in Transitional Care Plan and shares appropriately with beneficiaries and providers.

Facilitates beneficiary transfers among regions and collaborates with military liaison to minimize disruption care or services.

Coordinates basic benefit.

Job Requirements: Requirements: Education/Experience: Bachelor’s degree in BH or RN, LCSW, LCP, Case management, care management, managed care experience Knowledge of utilization management principles and healthcare managed care.

Experience with medical decision support tools (i.e.

Interqual, NCCN) and government sponsored managed care programs.

Licenses/Certifications: Current states RN license Why Apply: Company Benefits Full benefits available after 90 days: Medical, Dental, Vision, Life, Short-term Disability 401k after 1 year of employment: With employer match and profit sharing GREAT Hours Full-Time Monday through Friday, 40 hours per week – Overtime available paying time and a half over 40 hours worked.

Competitive Pay Rate With possible pay increases after 90 days of employment.

Work Life Balance Growth Potential Please contact Damian Sroka by applying directly for consideration or emailing resume to / Text: (847) 220-5241 Managed Care, Health Plan, Health Insurance, Case Manager, Care Manager, Utilization Review, Utilization Management, STARS, HEDIS, Complex Case Management, CCM, Certified Case Manager, NCQA, URAC, CMS, Medicare, Medicaid, HMO, RN, BSN, MSN, Registered Nurse, Quality Assurance, Quality Improvement