Care Manager

Integrated Resources Inc.; Bethlehem (Northampton County); On-site; USD 60,000 - 80,000; Full time

Job summary

A strategic workforce solutions provider in Bethlehem seeks a qualified professional to monitor inpatient mental health services and assist with discharge planning. The candidate should have a LCPC, LCSW, LSW or RN license and at least one year of managed care experience. Ideal candidates will thrive in a fast-paced, cubicle environment, providing telephone triage and crisis intervention. Competitive compensation package offered.

Qualifications

• At least 1 year of Managed Care experience required.
• Experience with Drug & Alcohol treatment preferred.
• Comfortable with a fast-paced environment and navigating multiple systems.

Responsibilities

• Monitor inpatient and intermediate level mental health services.
• Provide telephone triage, crisis intervention as assigned.
• Develop and oversee discharge plans in conjunction with providers.

Skills

Managed Care experience

Drug & Alcohol experience

Community resource experience

Telephone triage

Crisis intervention

Education

LCPC, LCSW, LSW or RN license

Job description

Integrated Resources, Inc., is led by a seasoned team with combined decades in the industry. We deliver strategic workforce solutions that help you manage your talent and business more efficiently and effectively. Since launching in 1996, IRI has attracted, assembled and retained key employees who are experts in their fields. This has helped us expand into new sectors and steadily grow.

We’ve stayed true to our focus of finding qualified and experienced professionals in our specialty areas. Our partner-employers know that they can rely on us to find the right match between their needs and the abilities of our top-tier candidates. By continually exceeding their expectations, we have built successful ongoing partnerships that help us stay true to our commitments of performance and integrity.

Our team works hard to deliver a tailored approach for each and every client, critical in matching the right employers with the right candidates. We forge partnerships that are meant for the long term and align skills and cultures. At IRI, we know that our success is directly tied to our clients’ success.

Job Description

Description:

• Under general supervision, and in collaboration with other members of the clinical team, the selected candidate will authorizes and
• Collects and analyzes utilization data. Assists with discharge planning and ambulatory follow up activity.
• Provides member assistance with mental health and substance abuse issues, and participates in special quality improvement projects.

Duties

• Monitors inpatient and intermediate 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.
• In conjunction with providers and facilities, develops discharge plans and oversee their implementation.
• Performs concurrent reviews for inpatient care and other levels of care as allowed by scope of practice and experience.
• 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/authorization questions and concerns regarding specific cases.

Qualifications

• Department hours: 8am – 6pm. The selected candidate will work from 8:30am – 5pm
• License: LCPC, LCSW, LSW or RN
• Caseload: 20 calls/day
• The manager is looking for candidates who have at least 1 year of Managed Care exp AND Drug & Alcohol experience.
• She is also looking for someone with community resource experience.
• candidate must be comfortable with working in a cubicle environment, comfortable with typing and talking at the same time, comfortable working in a fast pace environment and comfortable navigating through multiple systems.
• MUST be computer literate.

Additional Information

All your information will be kept confidential according to EEO guidelines.