Case Manager III

Geisinger Behavioral Health Center Northeast • Moosic, PA

5d

About The Position

Manage patient cases with a high degree of clinical knowledge and expertise. The Case Manager assures that patients meet care criteria from admission through discharge, coordinates authorizations and concurrent reviews with network providers, and collaborates with physicians and treatment teams to ensure treatment and medical-record documentation are complete. The role coordinates information and resources across levels of care, departments, community services, and agencies to support patient care and smooth transitions at discharge.

Requirements

• Bachelor’s degree in Social Work, Counseling, or a related human service field.
• Be a licensed health care professional with mental health experience; examples listed include MSW, LCSW, RN, CNS, ARNP, Registered Mental Health Professional (MHP), or Counselor (MA or MFT).
• Three or more years of experience working in a behavioral health setting.
• Counseling licensure or certification 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 a 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, and the patient and their family or guardian throughout the program to provide 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.

Benefits

• $2,500 sign-on bonus for accepting full-time employment, paid in installments: $625 after 90 days of continuous employment, $625 after 6 months, and $1,500 after 1 year.

What This Job Offers

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