Case Management Coordinator

About the Role

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

Responsibilities

• 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 in the patient population of the facility.
• Convey medical criteria and clinical information between the client/patient/residents’ insurance provider and treatment team as warranted; 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 patient/resident admission.
• Perform assigned tasks for admission review, concurrent review, and participate in discharge planning.
• Perform other functions and tasks as assigned.

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.

Qualifications

• 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.