Utilization Management- Case Manager

Aerotek is currently hiring for a large healthcare client in the Baton Rouge area specializing in managed care solutions for behavioral health, foster care, specialty therapy and rehabilitative services, specialized school services, and community re-entry programs.

Candidates must be either an LPC, LCSW, LMFT or an RN with behavioral health experience in managed care.

Candidates must be able to type and talk on the phone at the same time. Computer skills are very important.

Some responsibilities include, but are not limited to:

* Authorize, direct and monitor care for mental health and substance abuse problems according to clinical information given by providers and internal criteria for medical necessity and appropriateness of care.
* Ensure compliance with all performance measures in regards to appeals, denials, higher level of care admission certification and concurrent review timeliness, Outpatient Treatment Report review timeliness, re-admissions, and others as indicated.
* Interact with physicians and social workers for discharge planning.
* Direct and coordinate follow-up to ensure plans for continuity of care and adherence to HEDIS standards.
* Compile and report daily review activity and facility statistics.
* Participate in quality improvement activities, supporting network development and interfacing with treatment facilities and the professional community.
* Verify subscriber eligibility and existing benefits for mental health and substance treatment, prior to authorizing all levels of treatment including concurrent outpatient.
* Track benefit usage and advise appropriate parties of exhaustion of benefits.
* Interact with Medical Director or designee to discuss clinical authorization questions and concerns regarding specific cases.

About Aerotek:

Aerotek, headquartered in Hanover, Md., is a leading provider of technical, professional and industrial staffing services. Established in 1983, Aerotek is an operating company of Allegis Group, the largest provider of staffing services in the U.S. Aerotek operates a network of more than 200 non-franchised offices throughout the U.S., Canada and Europe. For more information, visit .

Aerotek is acting as an Employment Agency in relation to this vacancy.