Care Manager, Behavioral Health - Remote NM

Job description

This is a remote position and will require a New Mexico license. 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. The job duties listed above are representative and not intended to be all-inclusive of what may be expected of an employee assigned to this job. A leader may assign additional or other duties which would align with the intent of this job, without revision to the job description. - 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 con...