Case Manager III

Belmont Behavioral Health System • Philadelphia, PA

4d

About The Position

The Case Manager III manages patient cases using a high degree of clinical knowledge and expertise. The role assures that patients meet care criteria from admission through discharge, coordinates care and authorizations with network providers, and facilitates the flow of information among patients, families or guardians, treatment teams, and internal departments to support transitions between levels of care and discharge.

Requirements

• Bachelor’s degree in Social Work, Counseling, or a related human service field.
• Licensed health care professional with mental health experience; examples 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.
• First aid may be required based on the state or 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 treatment team members.
• Perform concurrent review with network providers and monitor medical record documentation using established guidelines to promote compliance and 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, and the patient and their family or guardian throughout the program to support a smooth transition at discharge.
• Coordinate resources with community services and agencies.
• Discuss the appropriateness of continued stay or continued care with the multidisciplinary team, third-party case managers, physicians, and other departments.
• Perform other functions and tasks as assigned.

What This Job Offers

• Job Type: Full-time