Case Manager III

2 weeks ago


Moosic, United States Acadia Healthcare Full time
ESSENTIAL FUNCTIONS:

  • Assure that patients meet care criteria from admission through discharge.
  • Initiate authorization with network providers.
  • Maintain knowledge of clinical information for patient's stay by review of documentation, participate in staffing, attend care conferences and collaborate with other members of the treatment team.
  • Perform concurrent review with network providers; monitor medical record documentation using knowledge of established guidelines to promote compliance and further ensure quality for retrospective review by external review entities
  • Liaison with physician and other treatment team members to assure that all aspects of treatment are fully documented.
  • Lead the flow of information between levels of care by collaborating with the admissions department, clinical and financial departments, and the patient and their family/guardian throughout program to provide a smooth transition at discharge.
  • Coordinate resources with other community services and agencies. Discuss appropriateness of a continued stay or continued care by the facility with the multi-disciplinary team, third-party case managers, physicians and other departments.
OTHER FUNCTIONS:
  • Perform other functions and tasks as assigned.
EDUCATION/EXPERIENCE/SKILL REQUIREMENTS:
  • Bachelor's degree in Social Work, Counseling or related human service field required.
  • Licensed health care professional with mental health experience (MSW; LCSW; RN; CNS; ARNP; Registered Mental Health Professional (MHP); Counselor (MA; MFT) required.
  • Three or more years' experience working in a behavioral health setting required.
LICENSES/DESIGNATIONS/CERTIFICATIONS:
  • Licensure or certification for counseling, as may be required by the state in which the facility operates.
  • 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.


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