About The Position

The Case Manager contacts external case managers/managed care organizations for certification and recertification of insurance benefits throughout the patient’s stay, and assists the treatment team in understanding the insurance company’s requirements for continued stay and discharge planning. The Case Manager is responsible for having a thorough understanding of the patient’s treatment through communication with the treatment team. The Case Manager advocates for the patient’s access to services during treatment team meetings and through individual physician contact. The Case Manager chairs treatment team meetings and continued stay reviews as indicated.

Requirements

  • Bachelor’s or Master’s degree from an accredited college or university in social work, mental health, nursing, or related degree preferred.
  • A minimum of two (2) years experience in a healthcare setting or managed care company.
  • Experience in patient assessment, treatment planning, utilization management, and/or case management preferred.

Responsibilities

  • Contact external case managers/managed care organizations for certification and recertification of insurance benefits.
  • Assist the treatment team in understanding the insurance company’s requirements for continued stay and discharge planning.
  • Maintain thorough understanding of the patient’s treatment through communication with the treatment team.
  • Advocate for the patient’s access to services during treatment team meetings.
  • Chair treatment team meetings and continued stay reviews as indicated.

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What This Job Offers

Job Type

Part-time

Education Level

Bachelor's degree

Number of Employees

1,001-5,000 employees

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