Case Management Coordinator

Overview ​PURPOSE STATEMENT

​Assess, plan, implement, coordinate, monitor and evaluate services to meet an individual’s needs during treatment.

Responsibilities

​ESSENTIAL FUNCTIONS: ​Assure residents meet criteria for admission, and review initial clinical information through discharge. ​Monitor and manage client/patient/resident’s cases through development and implementation of individual care plans, collecting clinical data and remain informed by continuous review of documentation. ​Coordinate care by tracking, monitoring, and reporting on inpatient or outpatient care. ​Manage client/patient/resident’s cases with knowledge and expertise with the patient population of the facility. ​Convey medical criteria and clinical information between the client/patient/residents’ insurance provider and treatment team as warranted and may also provide this information to the business office, as needed. ​Conduct precertification with third party payers and negotiate approved days with the provider for the patient/resident admission. ​Assigned tasks for admission review, concurrent review and participate in discharge planning. ​OTHER FUNCTIONS: ​Perform other functions and tasks as assigned.

Qualifications

​EDUCATION/EXPERIENCE/SKILL REQUIREMENTS: ​Bachelor’s degree in Health Administration, Social Science or a related field or relevant previous job experience required. ​Ability to create and maintain professional liaison with community agencies and organizations to ensure continuity of care. ​Knowledge of mental health and substance use fields is preferred. ​LICENSES/DESIGNATIONS/CERTIFICATIONS: ​CPR and de-escalation/restraint certification required (training available upon hire and offered by facility). ​First aid may be required based on state or facility. EASTN #LI-ETBH We are committed to providing equal employment opportunities to all applicants for employment regardless of an individual’s characteristics protected by applicable state, federal and local laws.