Behavioral Health Case Manager Jobs

About The Position

Requirements

• Bachelor's degree in Mental Health or related field
• Three years' experience
• State of Work Location: Illinois, Missouri, Oklahoma, Wisconsin
• Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA)

Responsibilities

• Assesses data to determine medical necessity and appropriateness of level of care/admission based on approved criteria.
• Completes insurance verification and authorizations for specific patient population from preadmission through discharge.
• Manages patient’s benefits by checking insurance eligibility to optimize payment of services rendered for alternative cost-effective levels of care.
• Notifies physician, business office, and patient/family of insurance denials.
• Attends weekly treatment team meetings with physicians, therapists, and nursing staff to discuss treatment options, benefits, insurance authorizations, and discharge planning.
• Collects, records, and maintains clinical information gathered from concurrent or retrospective review and assess for medical necessity criteria.
• Conducts appropriateness of admission and continued stay reviews concurrently or retrospectively.
• Works effectively with internal and external customers and proactively improves case management processes.
• Works in a constant state of alertness and safe manner.
• Performs other duties as assigned.

Benefits

• Shift Differentials: Available for night, weekend, and additional shifts
• Daily Pay: Get paid daily doing the work you love in a way that fits your life.
• Paid Parental Leave: we offer eligible team members one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE).
• Flexible Payment Options: our voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned, unpaid base pay (fees may apply) before payday.
• Upfront Tuition Coverage: we provide upfront tuition coverage through FlexPath Funded for eligible team members.