Psychiatric Case Manager- Full Time

Lake Charles Memorial Hospital • Lake Charles, LA

14h • Onsite

About The Position

The Psychiatric Case Manager supervises day to day functions of the department and staff. The manager actively seeks areas for department to improve (i.e - reduction in denials) &/ or be more efficient.

Requirements

• Degree in Social Services, Psychology or related filed
• Minimal 5-7 Years Experience working with mentally ill &/or addictions
• Louisiana Nursing License or multi-state compact nursing license
• Crisis Response Training
• CPR
• Ability to communicate with patient, family, peers and medical personnel.
• Requires emotional stability and resilience.
• Must be adaptable to change, be decisive, and demonstrate foresight.
• Exhibits organizational and leadership ability.
• Shows ability to gain and maintain support and respect.

Nice To Haves

• LPN/RN licensure preferred

Responsibilities

• Prepares information for notification letters for providers and employees.
• Performs utilization review in accordance with all state mandated regulations.
• Maintains compliance with regulation changes affecting utilization management.
• Performs continuing review on medical records and identification and need of on-going hospitalization.
• Reviews patients' records and evaluates patient progress.
• Obtains and reviews necessary medical reports and subsequent treatment plan requests to conduct review.
• Reviews and validates physician's orders, reports progress and unusual occurrences on patients.
• Receives & processes requests for appeal of denials.
• Attends required meetings regarding approvals, denials, pre-certs, authorizations and retro reviews.

Benefits

• organizational culture that supports not only exceptional patient care but also the well-being and professional growth of our employees.
• your contributions are valued, your growth is nurtured, and your success is celebrated.

What This Job Offers

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