Behavioral Health Case Manager RN

8 hours ago

Nashville, Tennessee, United States Lucent Health Solutions LLC Full time
Job Title: Behavioral Health Case Manager RN

About Lucent Health Solutions LLC

Lucent Health Solutions LLC combines top-tier claims management with a compassionate, human-focused, data-driven care management solution. This approach helps self-insured employers provide care management that enables health plan participants to make smarter, cost-saving healthcare decisions. Continuous data analytics offer ongoing insights, ensuring participants receive the right care, at the right cost, at the right time.

Our Company Culture

We believe that the success of Lucent Health Solutions LLC relies on having employees who are honest, ethical, and hardworking. These values are the foundation of our company.

Honest

  • Transparent Communication: be open and clear in all interactions without withholding crucial information.
  • Integrity: ensure accuracy in reporting, work outputs, and any tasks assigned.
  • Truthfulness: provide honest feedback and report any issues or challenges as they arise.
  • Trustworthiness: build and maintain trust by consistently demonstrating reliable behavior.

Ethical

  • Fair Decision Making: ensure all actions and decisions respect company policies and values.
  • Accountability: own up to mistakes and take responsibility for rectifying them.
  • Respect: treat colleagues, clients, and partners with fairness and dignity.
  • Confidentiality: safeguard sensitive information and avoid conflicts of interest.

Hardworking

  • Consistency: meet or exceed deadlines, maintaining high productivity levels.
  • Proactiveness: take initiative to tackle challenges without waiting to be asked.
  • Willingness: voluntarily offer to assist in additional projects or tasks when needed.
  • Adaptability: work efficiently under pressure or in changing environments.

Job Summary

The Behavioral Health Case Manager RN will create an individualized plan of action based on the assessment, which facilitates the coordination of appropriate and necessary treatment and services required by the patient. The case manager will provide the patient with information to make informed decisions, empowering and encouraging the patient to make their own decisions by including them in the planning process.

Responsibilities

  • Develops an individualized plan of action based on the assessment.
  • Coordinates appropriate and necessary treatment and services required by the patient.
  • Provides the patient with information to make informed decisions.
  • Empowers and encourages the patient to make their own decisions by including them in the planning process.
  • Develops contingency plans.
  • Facilitates communication of the patient's wishes to all members of the healthcare team.
  • Discusses advanced directives when appropriate.
  • Obtains the acceptance of all parties (patient, family, payer, and providers) prior to instituting the plan.
  • Develops a plan that advocates for the patient and maximizes benefit dollars.
  • Researches and includes costs of services and use of community resources in plan design.

Requirements

  • Active, unrestricted RN license in the state(s) of practice - Multi-State license required.
  • Current certified case manager (CCM) credential preferred.
  • A minimum of three (3) years of clinical experience in Behavioral Health Case Manager with experience in medical necessity review for admission for Intensive Outpatient, Inpatient admission, Substance Use Disorder treatment.
  • Ability to multi-task including navigation of multiple systems, multiple monitors, and having a conversation via telephone simultaneously.
  • Excellent time management and organizational skills, with the ability to maintain flexibility and work independently.

Equal Employment Opportunity Policy Statement

Lucent Health Solutions LLC is an Equal Opportunity Employer that does not discriminate based on actual or perceived race, color, creed, religion, alienage or national origin, ancestry, citizenship status, age, sex or gender (including pregnancy, childbirth, and related medical conditions), gender identity, gender expression, transgender status, sexual orientation, marital status, military service, and veteran status.

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