Team Manager leading services for adults with mental health and substance use disorders at GCBHS. Overseeing team operations and ensuring quality service provision.
About the role
- Nurse Case Manager I responsible for coordinating care management plans and ensuring member access to services. Part of a hybrid team, enhancing lives and communities through healthcare services.
Responsibilities
- Conduct assessments to identify individual needs and a specific care management plan to address objectives and goals as identified during assessment.
- Implement care plan by facilitating authorizations/referrals as appropriate within benefits structure or through extra-contractual arrangements.
- Monitor and evaluate effectiveness of the care management plan and modify as necessary.
- Interface with Medical Directors and Physician Advisors on the development of care management treatment plans.
- Negotiate rates of reimbursement, as applicable.
- Assist in problem solving with providers, claims, or service issues.
Requirements
- Requires BA/BS in a health-related field and minimum of 3 years of clinical experience; or any combination of education and experience, which would provide an equivalent background.
- Current, unrestricted RN license in applicable state(s) required.
- Multi-state licensure is required if providing services in multiple states.
- Experience with Microsoft Office suite preferred.
- Ability to talk and type at the same time preferred.
- Background in an acute care setting preferred.
- Telephonic and/or virtual nursing experience preferred.
- Managed Care experience preferred.
- Certification as a Case Manager preferred.
Benefits
- Merit increases
- Paid holidays
- Paid Time Off
- Incentive bonus programs
- Medical benefits
- Dental benefits
- Vision benefits
- Short and long term disability benefits
- 401(k) + match
- Stock purchase plan
- Life insurance
- Wellness programs
- Financial education resources
Job title
Job type
Experience level
Salary
Not specified
Degree requirement
Location requirements
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