Clinical Care Manager

Company: Beacon Health Options
Location: Fairfield
Posted on: May 15, 2020

Job Description:

Beacon Health OptionsJob Category: Clinical - Care MgmtReq #: CLINI02108Schedule: Full TimeLocation: CA - FairfieldWe Help People Live their Lives to the Fullest Potential!For more than 30 years, Beacon has changed the way people live with behavioral health conditions. Today, we are the undisputed leader in behavioral health management, serving 40 million people across all 50 states. At Beacon, we are committed to delivering a 'world-class' candidate experience from the moment you click 'Apply'! Our goal is to help you reach your fullest potential, while utilizing your talents and expertise to help us deliver on our promise.Do you have a passion for helping others? If so, we are looking for you!Beacon is currently seeking a Care Manager a highly organized and compassionate professional to join our team at our Fairfield, CA.Responsible for triaging and managing of members referred to Care Management. Responsible for the tracking and managing of members identified as Intensive Care Management (ICM) who may be high risk, high utilizing, at significant clinical risk or under-utilizing services.What does a typical day look like?Identification of all assigned members in care management.Managing, coordinating care, tracking and reporting of all assigned Members in care managementCollaboration with Community Support Programs (CSP)Work collaboratively to coordinate a supportive environment and clear communication;Maintaining accurate information in Beacon's clinical documentation systems as directedAssist in collection of outcomes information, annual analysis and other reporting and initiativesTelephonic collaboration with provider and county agencies regarding members in care managementParticipation in systems meetings as neededCollaborate with Primary Care Physician (PCP), Behavioral Health Professionals (BHP), and other members of the health care team, including health plan medical care managers, Pharmacy, and others to arrange and coordinate services for the member and optimize the member's ability to engage in the appropriate plan of care;Developing or overseeing a plan of care for each assigned member, adhering to timelines and including assessment of health needs, individualized care management plans, implementation, monitoring and evaluation of care outcomes;Assist with NCQA and URAC initiativesUrgent callsTelephonic collaboration with MembersTreatment Record ReviewsAttend Clinical meetingsOther duties as assignedWhat you Contribute?Education: Master's level in a behavioral health discipline: social work, counseling, psychologyLicensure:Licensed behavioral health clinician/nurse (LCSW, LMFT, LPCC, RN, Ph.D. or PsyD.) Who has Certification as a Care Manager is preferred.BSN, licensure as a professional and 3 years behavioral health clinical practiceA Minimum of two (2) years behavioral health clinical experience.Active and unrestricted CA clinical license.Knowledge, Skills & Abilities:Knowledge of managed care and state specific expertise preferred.Demonstrated experience exercising influence and negotiation skills to effectively manage patient care and health care outcomes.Demonstrated experience meeting strict deadlines and established cycle times through effective prioritization and follow-up.Strong interpersonal skills and good written and verbal communication skills.Proficient computer skills required, including working knowledge of MS Office: Word, Excel, and PowerPoint.What Makes Us Different?Here, it's not just a job - it's an opportunity to change lives.Our employees are learners, innovators and original thinkers.Our mission and values guide the way we treat our members, providers and each other.What We Have to Offer:Healthcare benefits available starting day 1!Health & wellbeing incentives, such as gym membership reimbursement401K with company match to help reach your future financial goalsGenerous PTO, because we know life happens outside of workTuition reimbursement so you can keep reaching your fullest potentialIf Beacon sounds like the place for you, what are you waiting for? Apply with us today to get started!Beacon Health Options is proud to be an Equal Opportunity and Affirmative Action Employer as well as a Drug Free and Tobacco Free Work Environment. EOE/AA/M/F/Veterans/DisabledAt Beacon Health Options, our candidate's data privacy is a top priority. Our recruiting team conducts all communications using official company email (@BeaconHealthOptions.com). Only candidates who have applied for an open position through our Careers page (careers.beaconhealthoptions.com) will be engaged in our interview process. Beacon conducts all interviews in person or over the phone. At no time during the recruiting process will any Beacon recruiter request any financial or personally identifiable information from you.#CB#GD#LI-7CF1PM16PI120095402

Keywords: Beacon Health Options, Fairfield , Clinical Care Manager, Executive , Fairfield, California