Behavioral Health Case Manager
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Description
- Review treatment plans for medical necessity and effectiveness (concurrent review)
- Monitor and review specialized requests and treatment records
- Provide information to enrollees, providers, and internal staff regarding covered and non-covered benefits, community resources, agency programs, and Magellan Complete Care policies and procedures and criteria.
- Gathers clinical information in order to authorize services (prior auths)
- develop and monitor discharge plans
- 3+ years of experience as a LCSW or LPC or BSN, or LMFT with clear license in VA
- 1+ years of behavioral Health background
- Must be computer Savvy (outlook and typing skills)