Case Management Coordinator

Overview

​PURPOSE STATEMENT: 

​Assess, plan, implement, coordinate, monitor and evaluate services to meet an individual’s needs during treatment. 

Responsibilities

​ESSENTIAL FUNCTIONS: 

• ​Assure residents meet criteria for admission, and review initial clinical information through discharge.   
• ​Monitor and manage client/patient/resident’s cases through development and implementation of individual care plans, collecting clinical data and remain informed by continuous review of documentation. 
• ​Coordinate care by tracking, monitoring, and reporting on inpatient or outpatient care.  
• ​Manage client/patient/resident’s cases with knowledge and expertise with the patient population of the facility.  
• ​Convey medical criteria and clinical information between the client/patient/residents’ insurance provider and treatment team as warranted and may also provide this information to the business office, as needed. 

• ​Conduct precertification with third party payers and negotiate approved days with the provider for the patient/resident admission.  
• ​Assigned tasks for admission review, concurrent review and participate in discharge planning.   

​OTHER FUNCTIONS:  

• ​Perform other functions and tasks as assigned. 

Qualifications

​EDUCATION/EXPERIENCE/SKILL REQUIREMENTS: 

• ​Bachelor’s degree in Health Administration, Social Science or a related field or relevant previous job experience required.  
• ​Ability to create and maintain professional liaison with community agencies and organizations to ensure continuity of care.  
• ​Knowledge of mental health and substance use fields is preferred. 

​LICENSES/DESIGNATIONS/CERTIFICATIONS:  

​CPR and de-escalation/restraint certification required (training available upon hire and offered by facility). 

• • ​First aid may be required based on state or facility. 

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