Psychiatric Residential Treatment Facility (PRTF) Care Manager - BH

Magellan Health; United States; Remote; USD 58,000 - 94,000; Full time

Job summary

A leading company in healthcare is seeking a Psychiatric Residential Treatment Facility (PRTF) Care Manager to oversee mental health and substance abuse treatment services. The role involves crisis intervention, case management, and collaboration with healthcare teams. Candidates must have relevant licensure and experience in behavioral health settings. The position offers a competitive salary and a comprehensive benefits package.

Benefits

Comprehensive Benefits Package

Qualifications

• Minimum 2 years post-degree experience in healthcare or behavioral health.
• Licensure required: CEAP, LCSW, LMSW, LPC, LSW, RN.

Responsibilities

• Monitor residential care services for mental health and substance abuse.
• Provide crisis intervention and develop discharge plans.
• Manage a caseload and coordinate with interdisciplinary teams.

Skills

Organizational Skills

Communication Skills

Knowledge of Utilization Management Procedures

Knowledge of DSM V

Education

Associate in Nursing

Bachelor's in Social Work

Master's in Social Work

Job description

Job Description: Psychiatric Residential Treatment Facility (PRTF) Care Manager - BH

This role involves monitoring residential level of care services related to mental health and substance abuse treatment to ensure medical necessity and effectiveness. Responsibilities include providing telephone triage, crisis intervention, emergency authorizations, performing concurrent reviews, developing discharge plans, and overseeing their implementation. The Care Manager performs quality clinical reviews, educates members and providers about benefits and resources, interacts with Physician Advisors, participates in quality improvement activities, and works with community agencies. Additionally, the role involves network development, advocacy for patients, managing a caseload, maintaining documentation, coordinating with interdisciplinary teams, and participating in case rounds and meetings.

**Other Job Requirements:**
Licensure is required, specifically a current license meeting State, Commonwealth, or customer-specific requirements, such as CEAP, LMSW, LCSW, LSW, LPC, or RN. A minimum of 2 years of post-degree experience in healthcare, behavioral health, psychiatric, or substance abuse settings is required. Strong organizational, communication skills, and knowledge of utilization management procedures, DSM V, and community resources are essential.

**General Job Information:**
Title: Psychiatric Residential Treatment Facility (PRTF) Care Manager - BH
Grade: 24
Work Experience - Required: Clinical
Education - Required: Associate in Nursing, Bachelor's or Master's in Social Work
Licenses and Certifications - Required: CEAP, LCSW, LMSW, LPC, LSW, RN, and state licensure
Salary Range: $58,440 - $93,500

Magellan Health offers a comprehensive benefits package, and the position is an equal opportunity employer committed to diversity and inclusion.