About this opportunity
Integrated Resources lists this Senior Case Manager opportunity in orange, California. Review the employer’s description below for duties, qualifications and application requirements.
Job description
Senior Case Manager
Integrated Resources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected professional specialty firms. IRI has built its reputation on excellent service and integrity since its inception in 1996. Our mission centers on delivering only the best quality talent, the first time and every time. We provide quality resources in four specialty areas: Information Technology (IT), Clinical Research, Rehabilitation Therapy and Nursing.
Job Description
Monitors inpatient and intermediate level of care services related to mental health treatment to ensure medical necessity and effectiveness. Provides telephone triage, crisis intervention and emergency authorizations as assigned. Performs concurrent reviews for inpatient 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. Provides information to members and providers regarding mental health 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. Proposes alternative plans of treatment when requests for services do not meet medical necessity criteria. Advocates for the patient to ensure treatment needs are met. Interacts with providers in a professional, respectful manner that facilitates the treatment process.
Qualifications
Requirements/Certifications: The members they service are adults. On average, the handle time for admissions are about 15-20 mins. The handle time on concurrent reviews are about 15 minutes and that depends are when the reviews are due and how many people are admitted into either IP, PHP, or IOP. This is an in-office position. Please read the description of the position. Training: 2 – 3 weeks License: LCSW, LMFT or RN. LCSWs and LMFTs REQUIRE a Master's Degree. RNs REQUIRES a Bachelor's Degree
Worksite address
orange, CA, 92613, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.