NewYorkRecruiter Since 2001
the smart solution for New York jobs

UM Care Manager

Company: Beacon Health Options
Location: New York
Posted on: September 17, 2020

Job Description:

Beacon Health OptionsJob Category: Clinical - Care MgmtReq #: UMCAR02971Schedule: Full TimeLocation: NY - Manhattan

About the Position:

Beacon Health Options is currently seeking a dynamic UM Care Manager to join our team in Manhattan, NY! The UM Care Manager authorizes and reviews utilization of mental health and substance use services provided in inpatient and intermediate care settings; assists with discharge planning and ambulatory follow up activity, provides member assistance with mental health and substance use issues, and participates in special utilization projects.

*This can be a remote / work from home position for applicants who reside in the Manhattan area*

Position Responsibilities:

  • Performs care review and authorization determinations for prospective, concurrent and discharge review with psychiatric and substance use treatment facilities as assigned
  • Determines appropriate level of care related to mental health and substance use treatment for members based on applicable medical necessity level of care criteria
  • Consults with Beacon Physician Advisors (PA) when requests for services do not appear to meet medical necessity criteria
  • Interacts with Physician Advisors to discuss clinical/authorization questions, alternative treatment options and concerns regarding specific cases
  • Provides information to members and providers regarding mental health and substance use benefits and community treatment resources
  • Provides telephone triage and crisis intervention to callers and, when necessary, assists with ensuring members have access to local services and resources
  • Ensures notification of care determination is made to provider and member
  • Identifies and refers high risk members to care management
  • Recognizes quality of care issues and reports them appropriately through internal and external processes
  • Interacts with providers and facilities in a professional, respectful manner
  • Complies with all Beacon policy guidelines, external regulatory requirements and URAC/NCQA accreditation standards
  • Participates in clinical rounds
  • Assists with NCQA, URAC and other QI initiatives
  • Other duties as assigned

    Position Requirements:
    • Education: B.S. Degree in mental health field or an A.A.S. Degree in Nursing with related psychiatric nursing experience required, M.S. Degree preferred
    • Licensure: Current, valid, unrestricted clinical license required (RN, LCSW, MFT, LPCC, PhD or PsyD) or BNS and must practice within the scope of license
    • Relevant Work Experience: 2 years post licensure experience of combined direct behavioral health clinical and managed care required

      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/Disabled

      At Beacon Health Options, our candidate's data privacy is a top priority. Our recruiting team conducts all communications using official company email 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.

      PM16

      #GD

Keywords: Beacon Health Options, New York , UM Care Manager, Executive , New York, New York

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category
within


Other Executive Jobs


Executive Manager, Application Development
Description: Responsible for managing multiple, complex development projects, often global in scope. Holds responsibilities and strong leadership skills to ensure appropriate staffing and organizational structures (more...)
Company: BNY Mellon
Location: New York
Posted on: 09/29/2020

Product Manager - Data Analytics, Roadmaps, Data Management, Agile, Jira
Description: Job Description The Associate Product Manager role will focus on supporting platform master data and data quality products to support existing series as well as consolidated platform architecture, servicing (more...)
Company: Software Management Consultants, Inc.
Location: New York
Posted on: 09/29/2020

Associate Director/Director Regulatory Affairs
Description: This is a 100 remote position Position Summary:The RA Associate Director/Director develops regulatory strategies and plans for product development from preclinical to licensure. Experience in writing (more...)
Company: Barrington James
Location: New York
Posted on: 09/29/2020


Manager, Institutional Giving (Grant Writer)
Description: This position is temporarily a primarily remote position. In time, it will again require the ability to travel to Children's Aid sites across NYC Harlem, South Bronx, Washington Heights, and northern (more...)
Company: Children's Aid
Location: New York
Posted on: 09/29/2020

Program Manager
Description: Job Description Responsibilities: --- Facilitate the product planning/road-mapping process goals, milestones, scope, estimates, etc. --- Serve as a Delivery Lead/advocate for the development teams --- (more...)
Company: Moody's
Location: New York
Posted on: 09/29/2020

Production Manager- Packaging
Description: Bunge www.bunge.com, NYSE: BG is a world leader in sourcing, processing and supplying oil seed and grain products and ingredients. Founded in 1818, Bunge's expansive network feeds and fuels a growing (more...)
Company: Bunge North America
Location: Kearny
Posted on: 09/29/2020

Hospice Field RN Case Manager - $10,000 Sign On Bonus or Student Loan Assistance!!!
Description: Job Description: 10 10 Do you have a 38 quot Hospice Heart 38 quot If your answer is yes, then you are just the nurse we are looking for. When days cannot be added to a life, we add life to remaining (more...)
Company: MJHS
Location: New York
Posted on: 09/29/2020

Senior Project Manager - Global Security
Description: As a Project Manager, you will be responsible for defining standards and executing tasks associated with managing multiple projects. You will play an integral role during the initial planning stages for (more...)
Company: SAP
Location: New York
Posted on: 09/29/2020

SEO Manager
Description: iPullRank is an ambitious five-year-old digital marketing agency based in New York City and founded by industry thought leader Michael King. Our mission is to drive results for our clients by delivering (more...)
Company: iPullRank
Location: New York
Posted on: 09/29/2020

Restaurant Manager
Description: The manager is responsible for leading department-level restaurant operations models and demonstrates leadership
Company: The Capital Grille
Location: New York
Posted on: 09/29/2020

Log In or Create An Account

Get the latest New York jobs by following @recnetNY on Twitter!

New York RSS job feeds