What are the responsibilities and job description for the Behavioral Health Case Manager position at Healthcare Support Staffing?
Company Description
HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!
Job Description
- Review treatment plans for medical necessity and effectiveness (concurrent review)
- Monitor and review specialized requests and treatment records
- Provide information to enrollees, providers, and internal staff regarding covered and non-covered benefits, community resources, agency programs, and Magellan Complete Care policies and procedures and criteria.
- Gathers clinical information in order to authorize services (prior auths)
- develop and monitor discharge plans
Qualifications
- 3 years of experience as a LCSW or LPC or BSN, or LMFT with clear license in VA
- 1 years of behavioral Health background
- Must be computer Savvy (outlook and typing skills)