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UM Care Manager - Outpatient Services
at Beacon Health Options
Cypress, CA

UM Care Manager - Outpatient Services
at Beacon Health Options
Cypress, CA

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Description

Beacon Health Options

Job Category: Clinical - Care Mgmt
Req #: UMCAR02133
Schedule: Full Time
Location: CA - Cypress


About The Position:

Beacon Health Options is currently seeking a dynamic UM Care Manager to join our Outpatient team in Cypress, CA! The UM Care Manger Outpatient Licensed Clinician is a position in fast-paced environment that serves the members population seeking behavioral health services. The Care Manager is responsible for screening and triaging members to appropriate level of care and providing resources and referrals.



*This can be a remote / work at home job opportunity for applicants residing and licensed in the state of California*



Position Responsibilities:
  • Responds to screening and triaging members telephonically to determine appropriate level of care
  • Utilization Review with providers based on claims trigger data and 6 month reviews
  • Work collaboratively to coordinate a supportive environment and clear communication;
  • Maintaining accurate information in Beacon's clinical documentation systems as directed
  • Telephonic collaboration with provider and county agencies regarding members in treatment
  • Participation in systems meetings as needed
  • Collaborate with Primary Care Physician (PCP), Behavioral Health Professionals (BHP), and other members of the health care team, including health plan medical care managers and others to arrange and coordinate services for the member and optimize the member's ability to engage in the appropriate plan of care;
  • Assist with NCQA and URAC initiatives
  • Respond to urgent calls
  • Telephonic collaboration with Members
  • Treatment Record Reviews
  • Attend Clinical meetings
  • Adheres to all Beacon policies and procedures and standards of operations.
  • Completes all required and assigned trainings.
  • Attends all mandatory company or department meetings.
  • Reports to each scheduled shift and commence work and perform essential job function at the start of each schedule shift.
  • Displays a positive, constructive, and helpful demeanor that is conducive to a safe and respectful work environment.
  • Acts as a mentor to junior team members by leading by example and guiding with a sense of integrity and team work.
  • Assists management with identifying opportunities for staff improvement, high performing team members, and training needs of team members.
  • Assist team members and offers suggestions to improve processes, culture, or work environment.
  • Performs special projects and other duties as assigned and required.
  • Telecommunicating an option



Position Requirements:
  • Education: Bachelor of Science in Nursing (BSN) or master's degree in mental health related discipline.
  • Licenses: Licensed behavioral health clinician/nurse (LCSW, LMFT, LPCC, RN, Ph.D. or PsyD.) required in the state of California, certification as a Care Manager is preferred.
  • Relevant Work Experience: 3 years behavioral health clinical practice required
  • Knowledge, Skill, & Abilities:
    • Educated in current principles and procedures of behavior health care.
    • Knowledge of managed care and state specific expertise preferred.
    • Demonstrated work experience to influence and negotiate to effectively manage patient care and health care outcomes.
    • Demonstrated work experience meeting strict deadlines and established cycle times through effective prioritization and follow-up.
    • Strong interpersonal skills and good written and verbal communication skills.
    • Advanced computer skills required, including working knowledge of MS Office: Word, Excel, and PowerPoint.





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 (@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

PM16

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