CASE MANAGER BEHAVIORAL HEALTH
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Job Description
About the Role
Join Independence Health System as a CASE MANAGER BEHAVIORAL HEALTH in United States. * Utilization * Completes initial utilization review for medical necessity for an assigned patient population. * Initiates assessment within 24 hours of admission or next business day.
Key Responsibilities
- provide alternatives to acute care as appropriate.
- Provide ongoing education for patients, staff, families, and physicians on managed care changes.
Requirements
- Responsible for accurate and timely documentation in recognized data bases to support Clinical Resource Management components for each patient in assigned caseload.
- Denial Management
- Initiates contact with Attending Physician on all cases that do not meet SI/IS indicators to clarify plan of care.
- Educates physicians and other members of the healthcare team on the application of Interqual criteria to support an Acute Level of Care and provide alternatives to acute care as appropriate.
Benefits & Compensation
- Provides information for appropriate referrals to patients and their families, and provides counseling on a limited basis.
- Maintains patient rights by adhering to HIPPA, Freedom of Choice, Rights of Reconsideration, and other regulatory agency requirements. Specialty Job Functions
- Exhibits active positive communication/collaboration with appropriate internal and external agencies.
- Daily interactions with case workers, nursing and physicians to identify barriers and explore alternatives that may contribute to a delay in discharge.
Work Schedule
- Full-time position.
- Call responsibilities required.
Apply to join Independence Health System as a CASE MANAGER BEHAVIORAL HEALTH.
Key Skills
Position Insights
Healthcare Administration — healthcare professional Career Context
This Healthcare Administration position at Independence Health System is open to healthcare professional candidates.
Location & Logistics
This position is based in United States.
Skills, Responsibilities & Benefits
Key skills and qualifications: Utilization review, Case management, Discharge planning, Interqual criteria, Behavioral health, Clinical resource management, Denial management, Patient assessment. Candidates with experience in these areas may be especially well-suited for this Healthcare Administration role.
Core responsibilities: The Case Manager is responsible for conducting utilization reviews, managing patient care plans, and facilitating appropriate discharge planning in collaboration with the healthcare team. They also handle denial management, educate staff on managed care standards, and ensure accurate documentation o...
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Job Details
Employment Type
Full Time
Posted
3d ago
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