License Clinical Social Worker

TalentBurst; San Diego (CA); On-site; USD 70,000 - 90,000; Full time

Job summary

TalentBurst is seeking a Care Manager-BH for a 3-month remote role focusing on mental health and substance abuse treatment. The successful applicant will monitor care services, provide crisis intervention, and work with community agencies while adhering to regulatory standards and licensure requirements.

Qualifications

• Minimum 2 years experience in a healthcare or behavioral health setting.
• Must have one of the required licenses (CEAP, LCSW, LMFT, LMSW, LPC, LPN, RN).
• Knowledge of DSM V and utilization management procedures.

Responsibilities

• Monitors inpatient and outpatient services to ensure medical necessity.
• Provides telephone triage and crisis intervention.
• Develops discharge plans and oversees their implementation.

Skills

Communication

Organization

Time Management

Education

Masters in Social Work

Bachelors in Social Work

Associates in Nursing

Job description

Clinical Services Group - Care Manager - BH Care Manager - BH

Title: Care Manager-BH
Duration: 3 Months+
Remote

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.

RESPONSIBILITIES:
Licensure is required for this position, specifically a current license that meets State, Commonwealth or customer-specific requirements.
One or more of the following licensure is required for this role with necessary degrees: CEAP, LMSW, LCSW, LPC, RN or LPN.
Minimum 2 years experience post degree in healthcare, behavioral health, psychiatric and/or substance abuse health care setting.
Strong organization, time management and communication skills. Knowledge of utilization management procedures, mental health and substance abuse community resources and providers.
Knowledge and experience in inpatient and/or outpatient setting.
Knowledge of DSM V or most current diagnostic edition.
Ability to analyze specific utilization problems, plan and implement solutions that directly influence quality of care.

WORK EXPERIENCE:
Clinical 2+ years

CERTIFICATIONS:
Must have one of the following:
CEAP - Certified Employee Assistance Professional,
LCSW - Licensed Clinical Social Worker,
LMFT - Licensed Marriage and Family Therapist,
LMSW - Licensed Master Social Worker,
LPC - Licensed Professional Counselor,
LPN - Licensed Practical Nurse,
RN - Registered Nurse, State and/or Compact State Licensure

EDUCATION:
Dependent on Certification--Associates: Nursing,
Bachelors: Social Work,
Masters: Social Work (Required)

About the company

Founded in 2002, TalentBurst is the national leader staffing supplier to large MSP contingent workforce programs. Through our 4 delivery centers in Boston, San Francisco, Miami and Gurgaon, India we support 90 Fortune 500 customers every week filling I...

Notice

Talentify is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.

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