Case Manager - Behavioral Health
Core
Coordinates systems and services with a trans-disciplinary team approach to deliver quality, cost-efficient care to patients through the continuum of health care services.
Role type
Case Manager (Behavioral Health)
Builds
Patient care continuum and discharge planning
Domain
Healthcare / Behavioral Health
Deliverable
client delivery
Required skills
Insurance verification, medical necessity assessment, benefits management, treatment team collaboration, data collection and record maintenance, admission and continued stay reviews
Preferred skills
None stated
Technologies
None stated
Responsibilities
Assess data to determine medical necessity and appropriateness of level of care/admission; Manage patient benefits by checking insurance eligibility and optimizing payment; Attend weekly treatment team meetings to discuss treatment options and discharge planning; Collect and maintain clinical information for concurrent or retrospective review; Conduct appropriateness of admission and continued stay reviews
Seniority
Mid-level, hands-on IC