The ideal candidate for this position is a licensed professional with a background in the insurance industry as a care manager in a behavioral healthcare role, or an individual who has worked in a mental health or chemical dependency treatment facility in the area of utilization management, or in direct provision of service as a mental health or chemical dependency counselor.
As an Inpatient Care Manager at Cigna, 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. You will be part of a virtual organization with multiple sites and must function well both independently as well as part of a larger team.
Perform precert and concurrent reviews for inpatient levels (Detox, Inpatient, Residential, and Partial Hospitalization).
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 Cigna Medical and Pharmacy.
Engage with customers and families to understand needs, facilitate access to Cigna coaching/case management programs and community resources.
Work in a team environment which includes contributing to team meetings, participating in clinical rounds with Cigna Medical Directors for input on utilization management, and attending all required trainings impacting utilization review and accreditation procedures.
Manage own caseload and coordinate all assigned cases.
Perform additional tasks/projects as needed, requested or assigned.
Requires Master's degree mental health discipline and independent licensure to practice in the state (LCSW, LMFT, LPC, LPCC, or Licensed Psychologist)
3 - 5 years post-license mental health experience preferred
Excellent communication and interpersonal skills with a focus on customer service
Effective conflict management and negotiation skills
Ability to adapt to change and problem solve
Strong time management and organization skills with an ability to set priorities in a fast paced environment
Ability to utilize and navigate multiple technology systems
Knowledge of managed care preferred