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| Employer Name: HealthcareCrossing |
SpiderID: 2360163 |
| Location: Mason, Ohio |
Date Posted: 7/11/2008 |
| Wage: |
Category: Healthcare |
| Job Code: 6324670 |
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Job Description:
The Case Manager II for Behavioral Health performs care management within the scope of licensure for members with co-existing medical and behavioral health care diagnoses by assessing, developing, implementing, coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum and ensuring member access to services appropriate to their health needs. Essential duties may include, but are not limited to: Conducts assessments to identify individual needs and a specific care management plan to address objectives and goals as identified during assessment. Implements care plan by facilitating authorizations/referrals as appropriate within benefits structure or through extra-contractual arrangements. Coordinates internal and external resources to meet identified needs. Monitors and evaluates effectiveness of the care management plan and modifies as necessary. Interfaces with Medical Directors and Physician Advisors on the development of care management treatment plans. Assists in problem solving with providers, claims or service issues. Performs other duties as assigned. Qualifications Qualified candidates will have a current, unrestricted Ohio license as an RN, Licensed Clinical Social Worker, Licensed Professional Clinical Counselor or other related licensed behavioral health care professional licensed at an independent level; and at least 4-5 years of pertinent clinical or case management experience and behavioral health or psychiatric nursing experience. Certification in Case Management preferred. Strong written, oral and interpersonal communication skills. Ability to comprehend medical policy and criteria to clearly articulate health information. Broad clinical knowledge base of disease processes. Strong ability to interpret and analyze medical information. Strong knowledge of case management assessment techniques and health care service providers, community organizations and state agencies. Strong understanding of appropriate member contracts and awareness of contract benefits.
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For further information, please visit us online at http://www.healthcarecrossing.com
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Job Criteria:
Start Date:
Position Type: Full-Time Permanent
Years of Experience Required:
Education Required:
Overnight Travel:
Vacation Time:
Contact Information:
| Contact Name: - |
Company Type: Employer |
| Company: HealthcareCrossing |
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| City: Pasadena |
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| State: California |
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| Zip: |
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Web Site: http://www.healthcarecrossing.com
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