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Clinical Care Manager

Company Name:
ValueOptions, Inc., a Beacon Health Options company
Position Type:
Full-time
ValueOptions, Inc., a Beacon Health Options company
Clinical Care Manager
ValueOptions 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/Disabled.
Position Location:
MI - Wixom
AAP Reporting Location:
MI- Wixom
ID:
33032
Job Family:
Clinical, Licensed
Functional Area:
CLINICAL OPERATIONS
FTE Status:
Part time
Scheduled Weekly Work Hrs:
23
Workday Schedule:
Variable Work Schedule
Workday Start Time:
5:00pm and Midnight
Workday End Time:
9:00am and 8:30am
Variable Work Schedule:
Friday: 5pm-9am,& Sunday:Midnight -8:30am
ABOUT THE POSITION
We are currently seeking a dynamic Part-time Clinical Care Manager to join our team at our office in Wixom, MI. The regular work schedule is Friday 5:00pm-9:00am, Saturday, Midnight-8:30am, and Sunday, Midnight -8:30am. The Clinical Care Manager will provide telephonic assessments, referrals and counseling.
Position Responsibilities:
Telephonic assessments, collecting sufficient clinical information to make appropriate referral and certification decision for emergency/urgent referrals that require alternate levels of care.
Collaborates with providers to determine alternate levels of care and to facilitate transfers to network facilities and providers whenever possible. Screen incoming subscriber and provider calls/inquiries and take data to initiate cases.
Evaluates clinical appropriateness of treatment using professional knowledge within ValueOptions clinical and work site guidelines and renders certification decisions or seeks consultations for non-certification decisions.
Will facilitate all tracking necessary quality indicators to meet these necessary accrediting bodies (NCQA, URAC).
Directs members to an appropriate therapist or EAP provider and reviews care on a regular basis to determine whether treatment meets ValueOptions criteria for medical necessity.
Facilitates coordination of care with other managers to assure continuity of care.
Establish and deliver knowledge about care resources and levels of care availability.
Special projects and all other duties as assigned.
Position Requirements:
Education : Master's degree in social work, psychology, counseling or a Bachelor's level RN.
Licensure : Current, valid and unrestricted license in a State or territory of the United States in a mental health field (RN, Ph.D., LCSW/ACSW, LLP, MHC, LPC, etc.).
Relevant Work Experience: A minimum of 3 years' experience in psychiatric or substance abuse treatment. Experience in settings that include inpatient, partial, and/or outpatient care preferred. Experience as a CEAP or EAP internal/external consultant to a work site area required (for the integrated unit only).
Knowledge, Skills & Abilities:
Must possess the ability to function in an interdisciplinary setting.
Must have knowledge and experience using management information systems.
Strong customer service orientation and excellent written and verbal communication skills required.
Must be knowledgeable about care resources and levels of care availability.

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