Care Manager ** 100% Remote for California Residents **

*Overview:* Our client, a US Fortune 500 company and a provider of managed Health care, Pharmacy benefits & specialty areas for managed care organizations / employers / government agencies, seeks an accomplished *Care Manager.
* _*\*\*\* Candidate must be authorized to work in USA without requiring sponsorship \*\*\**_ *\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\** *\*\*\* Location: San Diego, CA 92123 (100% Remote acceptable)* *\*\*\* Duration: 9 - 12 months contract w/ possibility of extension or conversion to FTE role* *Notes:* · Standard Hours: 8:30am – 5:00pm Pacific Time, Monday – Friday.
Lunches and breaks are scheduled.
Must have some flexibility.
· Must have stable hard wired fast internet.
· Must have private workspace that abides by HIPPA standards.
*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 conjunction with providers and facilities, develops discharge plans and oversee their implementation.
· Performs quality clinical reviews while educating and making appropriate interventions to advance the care of the member in treatment.
· Provides information to members and providers regarding mental health and substance abuse benefits, community treatment resources, mental health managed care programs, and company policies and procedures, and criteria.
· Interacts with Physician Advisors to discuss clinical and authorization questions and concerns regarding specific cases.
· Participates in quality improvement activities, including data collection, tracking, and analysis.
· Maintains an active workload in accordance with National Care Manager performance standards.
· Works with community agencies as appropriate.
· Proposes alternative plans of treatment when requests for services do not meet medical necessity criteria.
· Participates in network development including identification and recruitment of quality providers as needed.
· Advocates for the patient to ensure treatment needs are met.
· Interacts with providers in a professional, respectful manner that facilitates the treatment process.
*Qualifications:* · Must be Independently licensed in State of California.
Must have one of the following: CEAP - Certified Employee Assistance Professional, LCSW - Licensed Clinical Social Worker, LMFT - Licensed Marriage and Family Therapist, LMSW - Licensed Master Social Worker, LPC - Licensed Professional Counselor, LPN - Licensed Practical Nurse, RN - Registered Nurse, State and/or Compact State Licensure.
· Education: Dependent on Certification – Associates in Nursing, Bachelors in Social Work, Masters in Social Work.
· 2+ years of Clinical experience.
· Business management experience.
· Computer knowledge.
· Preferred: Hospital/ Healthcare background.
*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\** I'd love to talk to you if you think this position is right up your alley, and assure a prompt communication, whichever direction.
If you're looking for rewarding employment and a company that puts its employees first, we'd like to work with you.
*Satwinder “Sat” Singh* *Lead Technical Recruiter* *Company Overview:* *Amerit Consulting* is an extremely fast-growing staffing and consulting firm.
Amerit Consulting was founded in 2002 to provide consulting, temporary staffing, direct hire, and payrolling services to Fortune 500 companies nationally; as well as small to mid-sized organizations on a local & regional level.
Currently, Amerit has over 2,000 employees in 47 states.
We develop and implement solutions that help our clients operate more efficiently, deliver greater customer satisfaction, and see a positive impact on their bottom line.
We create value by bringing together the right people to achieve results.
Our clients and employees say they choose to work with Amerit because of how we work with them - with service that exceeds their expectations and a personal commitment to their success.
Our deep expertise in human capital management has fueled our expansion into direct hire placements, temporary staffing, contract placements, and additional staffing and consulting services that propel our clients’ businesses forward.
_Amerit Consulting provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
_ _This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.
_ _Applicants, with criminal histories, are considered in a manner that is consistent with local, state and federal laws.
_ Job Types: Full-time, Contract Salary: $35.
00 - $40.
86 per hour Expected hours: 40 per week Benefits: * Health insurance Schedule: * 8 hour shift * Monday to Friday Work setting: * Remote Experience: * Clinical: 2 years (Required) * Business Management: 2 years (Required) * Computer Skills: 2 years (Required) License/Certification: * One of these License: CEAP, LCSW, LMFT, LMSW, LPC, LPN, RN (Required) Work Location: Remote