Case Manager

It's more than a career, it's a calling

OK-SSM Health St. Anthony Hospital - Oklahoma City

Worker Type:

Regular

Job Highlights:

• Department: Behavioral Health
• Schedule: Part Time, Days
• Shift Differentials: Available for night, weekend, and additional shifts
• Location: St. Anthony Hospital - OKC

Our mission and values put the patient first and helps you to feel valued while respecting teamwork and collaboration. Our Case Management roles are an integral piece in our care team and we see it as a partnership. This position is scheduled to work 24 hours/week. At SSM Health, we know the healing power of presence begins with compassionate people like you.

Daily Pay: Get paid daily doing the work you love in a way that fits your life. At SSM Health, we believe you deserve the flexibility to work a schedule that fits your life and to get paid when you need it.

Job Summary:

Coordinates systems and services with an organized, trans-disciplinary team approach which delivers quality, cost-efficient care to patients through the continuum of health care services. Collaborates with the patient, family and other members of the health care delivery team to facilitate appropriate movement through the care continuum.

Job Responsibilities and Requirements:

PRIMARY RESPONSIBILITIES

• Assesses data to determine medical necessity and appropriateness of level of care/admission based on approved criteria. Completes insurance verification and authorizations for specific patient population from preadmission through discharge.
• Manages patient's benefits by checking insurance eligibility to optimize payment of services rendered for alternative cost-effective levels of care. Notifies physician, business office, and patient/family of insurance denials.
• Attends weekly treatment team meetings with physicians, therapists, and nursing staff to discuss treatment options, benefits, insurance authorizations, and discharge planning.
• Collects, records, and maintains clinical information gathered from concurrent or retrospective review and assess for medical necessity criteria.
• Conducts appropriateness of admission and continued stay reviews concurrently or retrospectively.
• Works effectively with internal and external customers and proactively improves case management processes.
• Works in a constant state of alertness and safe manner.
• Performs other duties as assigned.

EDUCATION

• Bachelor's degree in Mental Health or related field

EXPERIENCE

• Three years' experience

PHYSICAL REQUIREMENTS

• Frequent reaching, sitting, standing and walking.
• Frequent use of vision and depth perception for distances near (20 inches or less) and far (20 feet or more).
• Frequent use of hearing and speech to share information through oral communication. Ability to hear alarms, malfunctioning machinery, etc.
• Frequent keyboard use/data entry.
• Occasional bending, stooping, climbing, twisting and gripping.
• Occasional lifting/carrying and pushing/pulling objects weighing 0-25 lbs.
• Occasional use of vision to identify and distinguish colors.
• Occasional driving.
• Rare repetitive foot/leg and hand/arm movements and squatting.

REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS

State of Work Location: Illinois, Missouri, Oklahoma, Wisconsin

• Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA)

Work Shift:

Day Shift (United States of America)

Job Type:

Employee

Department:

Single Point of Entry

Scheduled Weekly Hours:

24

Benefits:

SSM Health values our exceptional employees by offering a comprehensive benefits package to fit their needs.

• Paid Parental Leave: we offer eligible team members one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE).
• Flexible Payment Options: our voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned, unpaid base pay (fees may apply) before payday.
• Upfront Tuition Coverage: we provide upfront tuition coverage through FlexPath Funded for eligible team members.

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SSM Health is an equal opportunity employer. SSM Health does not discriminate on the basis of race, color, religion, national origin, age, disability, sex, sexual orientation, gender identity,pregnancy, veteran status, or any other characteristic protected by applicable law. Click here to learn more.