Case Manager - Behavioral Health

It's more than a career, it's a calling Job Details Location: St. Anthony Hospital - Oklahoma City Job Title: Worker Type: Regular Schedule: Part Time, Days Shift Differentials: Available for night, weekend, and additional shifts 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 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. 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. Qualifications Education: Bachelor's degree in Mental Health or related field. Experience: Three years’ experience. Required Professional License and/or Certifications Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA) Additional Details State of Work Location: Illinois, Missouri, Oklahoma, Wisconsin Work Shift: Day Shift (United States of America) Job Type: Employee Transfer Point of Entry: Single Point of Entry Scheduled Weekly Hours: 24 Benefits Paid Parental Leave: one week of paid parental leave for newborns or newly adopted children (pro‑rated based on FTE). Flexible Payment Options: voluntary benefit offered through DailyPay offers instant access to earned, unpaid base pay before payday (fees may apply). Upfront Tuition Coverage: upfront tuition coverage through FlexPath Funded for eligible team members. SSM Health values our exceptional employees by offering a comprehensive benefits package to fit their needs. 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. #J-18808-Ljbffr