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Care Manager, Health Plan - Licensed / Remote
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$64,285 - $102,855 a year
Full-time
Remote
- Provides telephone triage, crisis intervention and prior authorizations as assigned for select members stratified as high and moderate member need.
- Serves as an accountable member of the care team to oversee appropriate rendering of services (e.g., during transitions in care or transition to home care, back up plans, community-based services).
- Facilitates a team approach, including all participants of the Interdisciplinary Care Plan team, Health Plan Medical Care Management where appropriate, to ensure appropriate interventions, cost effective delivery of quality care and services across the continuum.
- One or more of the following licenses is required for this role with necessary degree: LMSW, LCSW, LMFT, LPC, or RN.
- Minimum 5 years’ experience post degree in healthcare, behavioral health, psychiatric and/or substance abuse health care setting.
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