Case Manager - Behavioral Health

SSM Health • Oklahoma City, OK

21d • Onsite

About The Position

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. At SSM Health, we know the healing power of presence begins with compassionate people like you. This position is scheduled to work 24 hours/week.

Requirements

• Bachelor's degree in Mental Health or related field
• Three years' experience
• State of Work Location: Illinois, Missouri, Oklahoma, Wisconsin
• Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA)

Responsibilities

• 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.

Benefits

• Shift Differentials: Available for night, weekend, and additional shifts
• Daily Pay: Get paid daily doing the work you love in a way that fits your life.
• Paid Parental Leave: we offer eligible team members one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE).
• Flexible Payment Options: our voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned, unpaid base pay (fees may apply) before payday.
• Upfront Tuition Coverage: we provide upfront tuition coverage through FlexPath Funded for eligible team members.

What This Job Offers

• Job Type: Part-time
• Career Level: Mid Level