Care Manager - 100% Remote - Only for California ...

Overview:Our client, a US Fortune 500 company and a provider of managed Health care, Pharmacy benefits & specialty areas for managed care organizations/employers / government agencies, seeks an accomplished Care Manager.*** Candidate must be authorized to work in USA without requiring sponsorship ******************************************************************************* Location: 100% Remote (For California Residents)*** Duration: 6+ months contracts Job Functions:Monitors inpatient and/or outpatient level of care services related to mental health and substance abuse treatment to ensure medical necessity and effectiveness.Provides telephone triage, crisis intervention and emergency authorizations as assigned.Performs concurrent 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, develop discharge plans and oversee 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. Interact with Physician Advisors to discuss clinical and authorization questions and concerns regarding specific cases.Participate in quality improvement activities, including data collection, tracking, and analysis. Maintains an active workload in accordance with National Care Manager performance standards. Works with community agencies as appropriate.Proposes alternative treatment plans when requests for services do not meet medical necessity criteria.Participate 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.Top 3 Must-Haves (Hard Skills)Licensure is required for this position, specifically a current license that meets State, Commonwealth or customer-specific requirements.One or more of the following licensures is required for this role with necessary degrees: CEAP, LMSW, LCSW, LPC, RN or LPN.Minimum 2 years’ experience post degree in healthcare, behavioral health, psychiatric and/or substance abuse health care setting.Knowledge of utilization management procedures, mental health and substance abuse community resources and providers.Knowledge and experience in inpatient and/or outpatient setting. Knowledge of DSM V or most current diagnostic edition.Ability to analyze specific utilization problems, plan and implement solutions that directly influence quality of care.Candidate must be licensed in California.Education: Dependent on Certification-Associates: Nursing, Bachelors: Social Work, Masters: Social Work (Required)

Created: 2025-06-13