Care Manager

Care Manager

Integrated Resources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected professional specialty firms. IRI has built its reputation on excellent service and integrity since its inception in 1996. Our mission centers on delivering only the best quality talent, the first time and every time. We provide quality resources in four specialty areas: Information Technology (IT), Clinical Research, Rehabilitation Therapy and Nursing.

Job Description

Essential functions include monitoring inpatient and intermediate level of care services related to mental health and substance abuse treatment to ensure medical necessity and effectiveness. Provide telephone triage, crisis intervention and emergency authorizations as assigned. In conjunction with providers and facilities, develop discharge plans and oversee their implementation. Perform concurrent reviews for inpatient care and other levels of care as allowed by scope of practice and experience. Provide information to members and providers regarding mental health and substance abuse benefits, community treatment resources, mental health managed care programs, and Health Services policies and procedures, and criteria.

Qualifications

This is a TEMP-TO-PERM position. The typical day consists of managing up to 120 incoming calls/day. The calls are fed through by the customer care team and they are from members or providers. Examples of call consist of assessments, crisis intervention, members looking for providers in their area and provider calls discussing references or benefits, etc. The calls on average are about 5 to 30 minutes long depending on the nature of the call. There are call expectations like number of calls per day, length of calls, etc. The selected candidate will have strong attention to details, assessment and crisis management skills. The manager is looking for candidates with more facility based care, such as experience with the county or state, hospitals and in home travel therapy. Must be able to type and talk at the same time. Must be flexible and comfortable with change. Hours 8:30 – 5 Required license: LCPP or LCSW Training: 2 weeks of classroom training and then 2 – 3 weeks of side-by-side and shadowing. Team: Consist of about 12 people. The manager will conduct a face-to-face interview.