Case Manager III

Acadia•Moosic, PA

About The Position

Manage patient cases with a high degree of clinical knowledge and expertise. The role assures patients meet care criteria from admission through discharge and coordinates authorizations, clinical reviews, documentation, and transitions between levels of care. The Case Manager works with network providers, physicians, the treatment team, admissions and other departments, patients and their families or guardians, and community services to support appropriate care and discharge planning. The position requires a bachelor’s degree in Social Work, Counseling, or a related human service field; a qualifying licensed health care professional credential with mental health experience; and at least three years of experience in a behavioral health setting. Counseling licensure or certification may be required by the state. CPR and de-escalation/restraint certification are required, with training available upon hire and offered by the facility; first aid may also be required depending on state or facility requirements. Full-time employment is eligible for a $2,500 sign-on bonus, paid in installments: $625 in the first full pay period following 90 days of continuous employment, $625 after six months of continuous employment, and $1,500 after one year of continuous employment. Management may add or remove duties as circumstances dictate. The employer states its commitment to equal employment opportunities regardless of characteristics protected by applicable law.

Requirements

Bachelor’s degree in Social Work, Counseling, or a related human service field.
Licensed health care professional with mental health experience; qualifying credentials listed include MSW, LCSW, RN, CNS, ARNP, Registered Mental Health Professional (MHP), or Counselor (MA, MFT).
Three or more years of experience working in a behavioral health setting.
Licensure or certification for counseling, as may be required by the state in which the facility operates.
CPR and de-escalation/restraint certification; training is available upon hire and offered by the facility.

Responsibilities

Assure that patients meet care criteria from admission through discharge.
Initiate authorization with network providers.
Maintain knowledge of clinical information for each patient’s stay by reviewing documentation, participating in staffing, attending care conferences, and collaborating with other treatment team members.
Perform concurrent reviews with network providers and monitor medical record documentation using established guidelines to promote compliance and support quality for retrospective review by external review entities.
Liaise with physicians and other treatment team members to ensure all aspects of treatment are fully documented.
Lead the flow of information between levels of care by collaborating with admissions, clinical and financial departments, patients, and their family members or guardians to support a smooth transition at discharge.
Coordinate resources with community services and agencies.
Discuss the appropriateness of continued stay or continued care at the facility with the multidisciplinary team, third-party case managers, physicians, and other departments.
Perform other functions and tasks as assigned.