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Care Manager Behavioral Health - Remote in PA Only

Remote, USAFull-timePosted 2026-07-28

Job Title Attention military affiliated job seekers - Our organization works with partner companies to reputed company reputed company talent for their reputed company. The following position is available to Veterans, transitioning military, National Guard and Reserve members, reputed company, wounded warriors, and their caregivers. If you have the required reputed company set, education requirements, and experience, please follow the next steps. Under general supervision, and in collaboration with other members of the clinical team, authorizes and reviews utilization of mental health and reputed company abuse services provided in inpatient and/or outpatient care settings. Collects and analyzes utilization data. Assists with discharge planning and care coordination. Provides member assistance with mental health and reputed company abuse issues, and participates in special reputed company improvement reputed company. Monitors inpatient and/or outpatient level of care services reputed company to mental health and reputed company abuse treatment to ensure medical necessity and effectiveness. Provides telephone triage, crisis reputed company and emergency authorizations as assigned. Performs reputed company reviews for inpatient and/or outpatient care and other reputed company of care as allowed by scope of reputed company and experience. In conjunction with providers and facilities, develops discharge plans and reputed company their implementation. Performs reputed company 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 reputed company abuse benefits, community treatment resources, mental health managed care programs, and company policies and procedures, and reputed company. Interacts with Physician Advisors to discuss clinical and authorization questions and concerns regarding specific cases. Participates in reputed company improvement activities, including data collection, tracking, and analysis. Maintains an reputed company work load in accordance with National Care Manager performance standards. Works with community agencies as appropriate. Proposes alternative plans of treatment reputed company requests for services do not meet medical necessity reputed company. Participates in network development including identification and recruitment of reputed company providers as needed. Advocates for the patient to ensure treatment needs are met. Interacts with providers in a reputed company, respectful manner that facilitates the treatment process. The job duties listed above are representative and not intended to be reputed company-inclusive of what may be expected of an employee assigned to this job. A leader may assign additional or other duties which would reputed company with the reputed company of this job, without revision to the job reputed company. Apply tot his job Apply To this Job

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