Contract Manager focused on managing contracts for architectural services in various projects. Collaborating with project management and controlling to ensure effective contract execution and legal compliance.
About the role
- Behavioral Health Case Manager ensuring quality medical treatment and managing complex disability claims. Collaborating with healthcare providers and internal teams to achieve optimal outcomes.
Responsibilities
- Monitors the medical treatment to ensure quality, effective, and cost-efficient care.
- Conducts comprehensive evaluations of disability claimants' functionality via functional assessments.
- Independently reviews and interprets clinical information and utilizes established clinical guidelines and protocols.
- Drives crisis support initiative for the disability organization by assessing crisis situations.
- Advises on highly complex claims at multidisciplinary clinical review roundtables.
- Determines when claims contain quality of care issues and escalates through established channels.
- Independently conferences with treating providers and/or other higher level facilities.
- Leverages resources such as vocational rehabilitation, risk management unit, physician reviews, etc.
- Manages risk and resources on highly complex behavioral health claims.
- Identifies appropriate return to work options and/or barriers.
Requirements
- 3-5 years of direct clinical practice experience post master’s degree, e.g., hospital setting or alternative care setting such as ambulatory care or outpatient clinic/facility
- Case management and discharge planning experience preferred
- Managed care/utilization review experience preferred
- Crisis intervention skills preferred
- Licensed independent Behavioral Health clinician in state of service with unrestricted license.
- Minimum of a Master’s degree in Behavioral/Mental Health or related field.
- Registered nurse with active licensure; with behavioral health/mental health experience.
Benefits
- Flexible work arrangements
- Bonuses
- Wellness programs
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