Offer summary
Qualifications:
Pennsylvania Licensure in health/human services field, Master's degree or licensed RN, Minimum of three years clinical experience, Substance use disorder or mental health experience preferred, Experience in managed care strongly preferred.
Key responsabilities:
- Assist high-risk members with care coordination
- Make authorization determinations for necessary services
- Develop outreach plans for assigned members
- Coordinate information with providers and external agencies
- Conduct clinical reviews and care planning for members