Cigna Eating Disorders Case Manager Specialist in Baltimore, Maryland
The Care Managers have Eating Disorder training/specialization. These care managers (CM) are solely dedicated to Eating Disorder diagnosed customers. The same CM works with the customer throughout any Eating Disorder episode of care.
The CM and team objectives include:
• Complete Utilization Care Management throughout any Inpatient Hospitalization episode of care.
• Provide services that will assist the customer/family members in understanding their options based on their benefits.
• Educate the customer/family members about treatment options, including the need for medical interventions (if appropriate).
• Refer to Health Professionals with Eating Disorder expertise.
• Refer/educate regarding appropriate community resources.
• Provide coaching that will assist the customer in meeting their goals.
A Care Manager plans, implements, and evaluates appropriate health care services in conjunction with the physician treatment plan. They are responsible for educating and motivating customers to participate in community programs. Manages own case load and coordinates all assigned cases.
A Care Manager ensures that case management program objectives are met by evaluating the effectiveness of alternative care services and that cost effective, quality care is maintained.
Care managers provide varying levels of mental health case management services, crisis/triage referral services, and initial and concurrent clinical review with providers (telephonically) for continued authorization. Also consult with psychiatrists and other health professionals for crisis assessment/referrals, case management oversight and follow-up. Experience with UM (Utilization Management) is preferred as Care Managers review with providers.
Requires Master's degree mental health discipline and independent licensure to practice in the state of residence (LICSW, LMFT, LPC, LPCC, Licensed Psychologist or Psych RN)
Three to five years post-license mental health experience
Excellent communication and interpersonal skills
Effective negotiation skills
Eating Disorder treatment experience preferable
Primary Location: Eden Prairie-Minnesota
Other Locations: United States-California-Glendale, United States-Maryland-Baltimore, United States-Texas-Plano, United States-Missouri-St Louis
Work Locations: 11095 Viking Dr Eden Prairie 55344
Job: Med Mgt--Case Management
Employee Status: Individual Contributor
Job Type: Full-time
Job Level: Day Job
Job Posting: Nov 8, 2018, 4:45:00 PM
Qualified applicants will be considered for employment without regard to age, race, color, religion, national origin, sex, sexual orientation, gender identity, disability, veteran status. Need an accommodation? Email: SeeYourself@cigna.com