Case Manager

Job Title Case Manager Location Harford Facility 1015 Pulaski Hwy, Joppa Schedule Monday-Friday (1 weekend shift a month) Pay $19/hr About the Role Pyramid Healthcare is dedicated to offering the highest quality of care to those we serve. Our focus on client-centered care establishes our family of brands as respected leaders in addiction treatment, mental health recovery, and eating disorder treatment modalities. Under passionate leadership, we provide comprehensive behavioral healthcare defined by supportive environments that empower patients to overcome life’s challenges. We offer a full spectrum of behavioral healthcare services - psychiatry, addiction recovery, mental disorder treatment, and more - allowing clients at all stages of recovery to reclaim their health and well-being. Deliverables / Principal Results Expected Ensure clients with substance use and addiction issues have access to a full continuum of care by identifying and assessing their needs. Coordinate appointments, aftercare plans, schedules, and meetings. Monitor for delays in providing supportive services using Medicare/Medicaid DRG length-of-stay as a guideline. Conduct ongoing reviews throughout the patient's stay to ensure medical necessity and appropriate treatment levels. Collect quality data related to denial management, avoidable days, length of stay, outliers, admits, and readmissions. Maintain positive relationships with referral sources and insurance companies. Organize reporting systems for counselors regarding due PCPCs and necessary review calls. Accurately maintain daily ECR database and ensure proper documentation in patient charts. Investigate cases with insurance and referral sources to recover any lost funding days. Make referrals to Mental Health and Drug and Alcohol facilities for continuing care. Facilitate Halfway House interviews and placements. Provide direct care to adults with chemical dependency issues in the 3C program, ensuring their safety and well-being. Participate in the implementation of client treatment by maintaining communication with clients, family, and counselors. Schedule family therapy appointments and coordinate the treatment planning process to ensure adherence to Treatment Team recommendations. Education And Experience High school diploma or equivalent required. Minimum of 2-3 years of experience in a healthcare setting. Excellent interpersonal communication skills and knowledge of community and statewide referral options. Job-Related Behavioral Characteristics Demonstrates professionalism, leadership, confidentiality, and strong social communication skills. Possesses effective communication skills and interacts well with people from diverse backgrounds. Exhibits excellent oral and written communication abilities. Capable of problem-solving by gathering and analyzing information, both individually and in group settings. Maintains professionalism and consistency, avoiding favoritism with clients, staff, visitors, and the public. Ability to handle crisis situations calmly and decisively. Demonstrates flexibility and adaptability in decision-making, maintaining objectivity and ethical standards. Sustains a team environment, drives continuous improvement projects, and maintains confidentiality. CORE Values We are committed and proud to live our CORE values and use them to inspire those around us. Our employees are expected to align with these values, behaviors, and standards. We are held accountable for upholding these CORE Values: INTEGRITY is striving to be honest, transparent, and ethical when dealing with clients, staff, and the community. DEDICATION is demonstrating an unwavering commitment to always provide exceptional care and support to those we serve is needed daily. COLLABORATION is a steadfast, team-focused approach; working together to achieve excellence. PASSION is genuine, compelling, and relentless desire to improve lives and support Pyramid Healthcare’s mission. Total Rewards For Full-Time Positions Medical, Dental, and Vision Insurance Flexible Spending Accounts Life Insurance Paid Time Off 401(k) with Company Match Tuition Reimbursement Employee Recognition Programs Referral Bonus opportunities And More! Equal Opportunity Employer Pyramid Healthcare, Inc. is proud of its diverse workforce, and is an Equal Opportunity Employer. More Information To learn more about Pyramid Healthcare, and how you can achieve personal and professional growth, visit us at: #J-18808-Ljbffr