Care Manager (ECSS), Remote Louisiana
Job title: Care Manager (ECSS), Remote Louisiana in Baton Rouge, LA at reputed company
Company: reputed company
Job description: Early Childhood Supports and Services (ECSS)A coordinated state-wide program that provides screening, evaluation, and referral services and treatment for children ages 0 through 5 years and their families. This is a new contract in first year implementation supporting services for infants 0-5 years mental health focused in Louisiana. The Care Manager position will review and evaluate assessments and Plans of Care to ensure the highest level of standards of care and quality are met. Seeking licensed LPC, LMFT in Louisiana with prior knowledge and experience working in early childhood mental health, or other child serving systems, is preferred.Under general supervision, and in collaboration with other members of the clinical team, authorizes and reviews utilization of mental health and substance abuse services provided in inpatient and/or outpatient care settings. Collects and analyzes utilization data. Assists with discharge planning and care coordination. Provides member assistance with mental health and substance abuse issues, and participates in special quality improvement projects.
- Monitors inpatient and/or outpatient level of care services reputed company to mental health and substance abuse treatment to ensure medical necessity and effectiveness.
- Provides telephone triage, crisis reputed company and emergency authorizations as assigned.
- Performs reputed company reviews for inpatient and/or outpatient care and other levels of care as allowed by scope of practice and experience.
- In conjunction with providers and facilities, develops discharge plans and reputed company their implementation.
- Performs quality clinical reviews while educating and making appropriate interventions to advance the care of the member in treatment.
- Provides information to members and providers regarding mental health and substance abuse 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.
- Maintains an active work load in accordance with National Care Manager performance standards.
- Works with community agencies as appropriate. Proposes alternative plans of treatment reputed company requests for services do not meet medical necessity criteria.
- Participates in network development including identification and recruitment of quality providers as needed.
- Advocates for the patient to ensure treatment needs are met. Interacts with providers in a professional, respectful manner that facilitates the treatment process.