Case Manager

   Case Manager, PRN needed in Baton Rouge, LA

Integrity Staffing Solutions is currently seeking a Case Manager, PRN in the Baton Rouge area. Integrity Staffing Solutions provides comprehensive professional level staffing services on a nationwide basis and has been bringing companies and professionals together almost 20 years. At Integrity Staffing Solutions, we find the best, highest paying professional level positions within the top companies in the area. Most of the positions we identify will never be found in a newspaper or online because of the exclusive relationships we have with our clients who trust Integrity Staffing Solution’s recruiting team to identify top talent to fill their critical hiring needs. Finding a top paying job at a great company is often like signing the contract of a lifetime; let us get to work for you today!   

The Behavioral Health Concurrent Review Clinician utilizes clinical skills to coordinate, document and communicate all aspects of the utilization/benefit management program. Applies critical thinking and knowledge in clinically appropriate treatment, evidence based care and medical necessity criteria for appropriate utilization of services

Fundamental Components include:

-Consults and lends expertise to other internal and external constituents in the coordination and administration of the utilization/benefit management function (*)

-Gathers clinical information and applies the appropriate medical necessity criteria/guideline, policy, procedure and clinical judgment to render coverage determination/recommendation/discharge planning along the continuum of care(*)

-Utilizes clinical experience and skills in a collaborative process to evaluate and facilitate appropriate healthcare services/benefits for members including urgent or emergent interventions (such as triage / crisis support) (*)

-Coordinates/Communicates with providers and other parties to facilitate optimal care/treatment (*)

-Identifies members who may benefit from care management programs and facilitates referral (*)

-Identifies opportunities to promote quality effectiveness of healthcare services and benefit utilization (*)

3-5 years clinical practice experience, e.g., hospital setting, alternative care setting such as home health or ambulatory care required.

Must be a Licensed Mental Health Professional with unrestricted LA state license.

LADC or LAC (Licensed Addiction Counselor)

Managed care/utilization review experience strongly preferred

Additional Information:

• Hours: Part Time
• Pay: $27.45
• Employment Type: Contract
• Limited medical and dental coverage for contractors and their families available immediately
• Opportunities for professional growth.

Integrity Staffing Solutions is an Equal Opportunity Employer. All job offers are contingent upon the successful completion of a background check and drug screen.

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