Behavioral Health Case Manager

4 weeks ago


South Dartmouth Massachusetts, United States Southcoast Behavioral Health Full time

Job Summary:

Southcoast Behavioral Health is seeking a skilled Clinical Case Manager to join our team. As a Clinical Case Manager, you will be responsible for managing patient cases with a high degree of clinical knowledge and expertise.

Key Responsibilities:

  • 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.

Requirements:

  • Master'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) preferred.
  • Three or more years' experience working in a behavioral health setting required.

Additional Information:

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.



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