Behavioral Health Inpatient UM Care Manager

4 weeks ago


Bloomfield, Connecticut, United States The Cigna Group Full time
Job Summary

This is a full-time position that requires working weekends. Shift days and times may vary due to business need. All staff schedules include rotating shifts, weekends, and holiday time.

About the Role

As an Inpatient Care Manager at Evernorth, you will use your clinical knowledge and skills to evaluate appropriate health care services and treatment plans in conjunction with inpatient providers. You will partner with facilities and families to identify and implement a holistic approach to treatment outcomes.

Key Responsibilities

• Collaborate with Facilities and Health Care Providers telephonically to obtain clinical information and ensure quality treatment outcomes in the least restrictive setting utilizing established Medical Necessity Criteria.
• Coordinate with facilities to assist with discharge planning, aftercare follow-up appointments, and integration of services with Medical and Pharmacy.
• Engage with customers and families to understand needs, facilitate access to coaching/case management programs and community resources.
• Work in a team environment which includes contributing to team meetings, participating in clinical rounds with Evernorth Medical Directors for input on utilization management, and attending all required trainings impacting utilization review and accreditation procedures.

Requirements

• Requires Master's degree in mental health discipline and independent licensure to practice in the state of employment (LCSW, LMFT, LPC, LPCC, or Licensed Psychologist)
• 5 years post-license mental health experience preferred
• Knowledge of managed care preferred

What We Offer

Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays.

About Evernorth Health Services

Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.

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