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.

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