UnityPoint Health- Trinity has an exciting opportunity for a Care Manager to join our growing behavioral health care utilization management team. We are proud to be one of the most experienced mental health care providers, with a long tradition of caring for our community. While being a leader in compassionate care is important, we believe it's equally important to be a leader in the behavioral health industry. No health care system is complete without a behavioral health division. The recent advances in behavioral health have given way to richer, deeper, treatment programs that put the patient at the center of each care plan. Since our founding, the Robert Young Center has championed mental health care advocacy, offering services under UnityPoint Health - Trinity.
In this role, you will be responsible for providing triage and care management for enrollees, responsible for utilization management relationships and provider relations. This position helps to coordinate, plan and evaluate procedures in the delivery of care management, while meeting accreditation standards, under the direction of the Director of Managed Care.
TECHNICAL/ADMINISTRATIVE/CLINICAL: Demonstrates competence in recognizing and responding to patient's physical, mental, emotional, and developmental needs. Demonstrates competence in the skills, processes, procedures and equipment necessary to carry out assigned duties as identified below.
Monitors the efficient operation of care management by working with the health care team, to maximize quality patient-centered care.
Provides clinical care for the enrollees of Precedence by:
Assists the Director of Managed Care in efficient operation of the department by overseeing care management personnel and collaboration of care.
Coordinate Provider Relations.
Other duties as assigned.
EDUCATION, TRAINING & EXPERIENCE: BSN preferred or MSW required. Experience as a Care Manager in medical/ behavioral health care utilization management desired but not required.
LICENSES, REGISTRATIONS AND CERTIFICATIONS: Licensed behavioral health clinician, medical or behavioral health nurse with a minimum of 5 years experience post license. Must be licensed in the State(s) they work in. With a scope of practice that is relevant to the clinical area(s) for clinical reviews.
KNOWLEDGE, ABILITIES & SKILLS: Knowledge of behavioral health care services. Good knowledge of best practices. Ability to problem solve; to plan, organize and direct care management activities; ability to communicate effectively, orally, and in writing. Good knowledge of computer skills. Knowledge of utilization review & discharge planning process desired.