Psychiatric Case Manager- Full Time
About The Position
The Psychiatric Case Manager supervises the department’s day-to-day functions and staff, and identifies opportunities to improve department performance and efficiency, including reducing denials. The role performs utilization review in accordance with state-mandated regulations and maintains compliance with changes affecting utilization management. The position reports directly to the Practice Director. The organization describes its culture as focused on exceptional patient care, employee well-being, and professional growth. It states that employees’ contributions are valued and that their growth and success are supported.
Requirements
- Degree in Social Services, Psychology, or a related field.
- At least 5–7 years of experience working with people with mental illness and/or addictions.
- Louisiana nursing license or multistate compact nursing license.
- Crisis Response Training.
- CPR.
- Ability to communicate with patients, families, peers, and medical personnel.
- Emotional stability and resilience.
- Ability to adapt to change, make decisions, and demonstrate foresight.
- Organizational and leadership ability.
- Ability to gain and maintain support and respect.
Nice To Haves
- LPN or RN licensure is preferred.
Responsibilities
- Supervise the day-to-day functions of the department and staff.
- Identify opportunities to improve department performance and efficiency, including reducing denials.
- Prepare information for notification letters for providers and employees.
- Perform utilization review in accordance with state-mandated regulations.
- Maintain compliance with regulatory changes affecting utilization management.
- Conduct continuing reviews of medical records and identify the need for ongoing hospitalization.
- Review patient records and evaluate patient progress.
- Obtain and review medical reports and subsequent treatment plan requests needed to conduct reviews.
- Review and validate physician orders, and report patient progress and unusual occurrences.
- Receive and process requests to appeal denials.
- Attend required meetings regarding approvals, denials, pre-certifications, authorizations, and retrospective reviews.
- Perform other job-related tasks as requested.
Benefits
- Opportunity to contribute to exceptional patient care and the community.
- Organizational support for employee well-being and professional growth.
- Employee contributions are valued, growth is nurtured, and success is celebrated.
- The organization is nationally certified as a Great Place to Work.
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What This Job Offers
Job Type
Full-time
Career Level
Manager
