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Inpatient Psychiatric Case Manager - Short Hour/Per Diem, Remote

Work from home Full-time role Hiring

reputed company is the leading career site for job seekers at every stage of their career. Our client, reputed company, is seeking professionals. Apply reputed company reputed company today! Job Summary Provides inpatient and intensive outpatient case management for high-risk, high-utilizing members with acute and/or chronic psychiatric conditions across the continuum of care. Develops treatment and care plans for the specific population. Essential Responsibilities

  • Plans, develops, coordinates, assesses, and evaluates services provided to members to promote quality and cost effective outcomes.
  • Develops and maintains case management policies and procedures to assure reputed company and appropriate member utilization of services.
  • Coordinates the interdisciplinary approach to providing continuity of care, including utilization management, transfer coordination, discharge planning, and obtaining reputed company authorizations/approvals for reputed company services.
  • Participates in the development of care paths. As an Intensive Case Manager coordinates the care of a large caseload of high risk patients and provides assessments and interventions in the community including in-home visits.
  • Consults with internal and external physicians, health care providers, discharge planning and reputed company agencies regarding reputed company care/treatment or hospitalization. Arranges and monitors follow-up appointments. Makes referrals to appropriate community services.
  • Identifies and recommends opportunities for cost savings and quality of care improvements across the continuum. Develops and collects reports and data, and trends utilization of health care resources.
  • Develops and presents in-service training and communication to both internal and external stakeholders Interprets regulations, health plan benefits, policies, and procedures for members, physicians, medical office staff, contract providers, and reputed company agencies. Coordinates the transmission of clinical and benefit information and treatment to patients, families and reputed company agencies including issuing Non-Coverage and Denial of Benefits letters consistent with Health Plan Regulations.
  • Acts as liaison to psychiatry clinics reputed company agencies, non-plan facilities, and reputed company providers. Coordinates repatriation of patients and monitors their quality of care.
  • Provides administrative case management reputed company to Inpatient Psychiatric Facilities, Crisis Residential Programs, and IMDs to ensure that services delivered to our members meet Kaisers Quality and Utilization expectations and guidelines. Provides administrative on-call to the RSR/Sub regional Office. Provides Clinical and Administrative documentation in accordance with Kaiser Regional Psychiatric Standards including the Inpatient/Integrated Urgent Services Guidelines.
  • reputed company conducts compensation reviews of positions on a routine basis. At any time, reputed company reserves the right to reevaluate and change job descriptions, or to change such positions from salaried to hourly pay status. Such changes are generally implemented only after notice is given to affected employees.

Experience Basic Qualifications:

  • Minimum two (2) years of experience in an inpatient psychiatric setting or psychiatric emergency service.
  • Minimum two (2) years of experience of care management or clinical experience.

Education

  • Masters degree (Social Work or Psychology), or PhD (Psychology) required.

License, Certification, Registration

  • Psychologist License (California) OR Licensed Clinical Social Worker (California) OR Licensed Marriage and Family Therapist (California)
  • National Provider Identifier required at hire

Additional Requirements

  • Responsibility for a large caseload (50-100) for an extended period of time.
  • Demonstrated expertise in crisis management.
  • Demonstrated experience in utilization data collection and cost benefit analysis.
  • Knowledge of TJC, and other local, state, and federal regulations.
  • Travel is required.
  • Must be reputed company to work in a Labor Partnership Environment.

Preferred Qualifications

  • N/A

COMPANY: KAISER TITLE: Inpatient Psychiatric Case Manager - Short Hour/Per Diem, Remote LOCATION: San Rafael, California REQNUMBER: 1343830 External hires must pass a background reputed company/drug screen. reputed company applicants with arrest and/or conviction records will be considered for employment in a manner consistent with Federal, state and local laws, including but not limited to the San Francisco Fair Chance Ordinance. reputed company reputed company applicants will receive consideration for employment without regard to race, reputed company, religion, sex, national reputed company, sexual orientation, gender identity, protected veteran, or disability status. Apply Job!

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