Care Manager (Must have either CEAP, LCSW, LMFT, LMSW, LPC, or RN license)
Location: San Diego
Posted on: June 23, 2025
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Job Description:
Job Title: Remote Care Manager Pay: $40 an hr | Bi-weekly Job
Type: Remote in California (Must live in California and be a
resident there) Shift Options: M–F, 8/8:30 AM–4:40/5 PM PST. Remote
Care Manager Overview: JOB 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 work load 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. Licensure is required for this position, specifically a
current license that meets State, Commonwealth or customer-specific
requirements. Remote Care Manager Qualifications: One or more of
the following licensure is required for this role with necessary
degrees: CEAP, LMSW, LCSW, LPC, RN. Minimum 2 years experience post
degree in healthcare, behavioral health, psychiatric and/or
substance abuse health care setting. Strong organization, time
management and communication skills. Knowledge of utilization
management procedures, mental health and substance abuse community
resources and providers. Knowledge and experience in inpatient
and/or outpatient setting. Knowledge of DSM V or most current
diagnostic edition. Ability to analyze specific utilization
problems, plan and implement solutions that directly influence
quality of care. Clinical 2 years CERTIFICATIONS: 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, RN - Registered Nurse, State
and/or Compact State Licensure EDUCATION: Dependent on
CertificationAssociates: Nursing, Bachelors: Social Work, Masters:
Social Work (Required) Remote Care Manager Benefits: Benefits are
available to full-time employees after 90 days of employment and
include health, optical, dental, life, and short-term disability
insurance. A 401(k) with a company match is available for full-time
employees with 1 year of service on our eligibility dates. How to
Apply: If you are interested in this position, please apply OR
submit your resume to: Saw Hlaing | shlaing@alinestaffing.com |
412-790-5425
Keywords: , Fountain Valley , Care Manager (Must have either CEAP, LCSW, LMFT, LMSW, LPC, or RN license), Healthcare , San Diego, California
