Care Manager Behavioral Health

NewYork-Presbyterian Hospital

2d • Onsite

About The Position

Breakthrough Behavioral Health: Make It Possible at New York-Presbyterian Care Manager – Behavioral Health - Westchester - Full-time - Days Continue your behavioral health career at NewYork-Presbyterian Hospital, and discover why we're the nation's #3-ranked center for Psychiatry (U.S. News & World Report). Over a century ago, we introduced the world to moral psychiatric care. Today, our specialized Women's Health Unit, NIMH-funded Eating Disorders Program, groundbreaking Kosher Unit for specific spiritual and dietary needs, and other programs make us a model center for patient-centered innovation. Together, we've built a healing haven for patients. Join us, and experience Making It Possible. Ensure that patients are transitioned appropriately throughout the continuum of care. Evaluate appropriateness of level of care, length of stay, and discharge plans. Conduct managed care and utilization management reviews for all levels of care. Actively collaborate and consult with treatment teams and external agencies. Facilitate MD appeals and 1st and 2nd level written appeals for authorization of coverage as needed. Conduct telephonic case reviews with managed care reviews. Join a healthcare system where employee engagement is at an all-time high. Here we foster a culture of respect, belonging, and inclusion. Enjoy comprehensive and competitive benefits that support you and your family in every aspect of life. Start your life-changing journey today. Please note that all roles require on-site presence (variable by role). Therefore, all employees should live within a commutable distance to NYP. NYP will not reimburse for travel expenses. __________________ 2024 “Great Place To Work Certified” 2024 “America’s Best Large Employers” – Forbes 2024 “Best Places to Work in IT” – Computerworld 2023 “Best Employers for Women” – Forbes 2023 “Workplace Well-being Platinum Winner” – Aetna 2023 “America’s Best-In-State Employers” – Forbes “Silver HCM Excellence Award for Learning & Development” – Brandon Hall Group NewYork-Presbyterian Hospital is an equal opportunity employer. It all begins with you. Our amazing compensation packages start with competitive base pay and include recognition for your experience, education, and licensure. Then we add our amazing benefits, countless opportunities for personal and professional growth and a dynamic environment that embraces every person. Join our team and discover where amazing works. Internationally acclaimed, our hospital leads the way in research, life-shaping education and compassionate care. Step into a career at a truly Amazing place. Among the highest echelon of the topmost hospitals in the world, NewYork-Presbyterian is Making It Possible for patients at this moment. What does this mean for you? Nothing less than an extraordinary career. We care for 1 out of every 4 New Yorkers in medical need. The nation's largest not-for-profit academic medical center, with over 2 million patient visits a year.

Requirements

• Licensed Master Social Worker by New York State Education Department or Current New York State License as a Registered Professional Nurse.
• 2+ years experience in mental health field after completion of degree.
• Experience with a broad range of psychopathology and substantial understanding of the phenomenology, dynamics and treatment of the psychiatric population within current behavioral health care context.
• Capacity to conduct case certifications and reviews to present rationale for level of care, LOS, interventions, and discharge plans.
• Ability to deliver these functions for all payer sources and across all levels of care.
• Knowledge of reimbursement protocols and billing issues pertaining to all payer sources.
• Master Degree in Social Work or Nursing

Responsibilities

• Ensure that patients are transitioned appropriately throughout the continuum of care.
• Evaluate appropriateness of level of care, length of stay, and discharge plans.
• Conduct managed care and utilization management reviews for all levels of care.
• Actively collaborate and consult with treatment teams and external agencies.
• Facilitate MD appeals and 1st and 2nd level written appeals for authorization of coverage as needed.
• Conduct telephonic case reviews with managed care reviews.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Number of Employees: 5,001-10,000 employees