Case Manager – Behavioral Health

Role Overview

• Coordinates the patient’s care throughout their stay
• Collaborates with the health care team in evaluating the appropriate use of resources
• Ensures progress towards departmental improvement goals relative to length of stay (LOS) and cost per case
• Participates in Care Conferences as requested
• Engages in utilization management activities appropriate to the patient’s level of care
• Obtains insurer’s approval for services by providing the insurer with pertinent medical information
• Documents insurance information/authorization numbers in relative software applications
• Establishes and maintains positive relationships with patients, physicians, allied professionals, and all peers

Requirements

• Bachelor's degree in Business, Education, Counseling, Human Services or related field from an accredited institute
• Minimum of two years’ experience in the care of assigned patient population
• Working knowledge of community resources
• Expert knowledge of ICD, CPT, and HCPCS coding guidelines
• Expert knowledge of medical terminology, anatomy, and physiology
• Expert ability to analyze trends and data and display them in a statistical reporting format
• Expert knowledge of Microsoft Office, video and web conferencing, email, and experience with electronic coding and EHR systems or applications
• Strong ethics
• Experience with remote workforce operations required.

Benefits

• Paid Time Off programs
• Health and welfare benefits such as medical, dental, vision, life, and Short
• and Long-Term Disability
• Flexible Spending Accounts for eligible health care and dependent care expenses
• Family benefits such as adoption assistance and paid parental leave
• Defined contribution retirement plans with employer match and other financial wellness programs
• Educational Assistance Program