Case Manager III

Overview

Belmont Behavioral Health System is a premiere provider of comprehensive treatment for mental health conditions and substance abuse problems. Having been in operation for over 75 years as one of the most prominent providers of behavioral healthcare treatment services, Belmont is proud to offer high quality and specialized programming options for children, adolescents, adults, and older adults who are suffering from psychiatric concerns and chemical dependency.

Belmont currently has an opening for a full-time Case Manager. The Case Manager will report to the Director of Case Management and manage patient cases with a high degree of clinical knowledge and expertise.

Responsibilities

ESSENTIAL FUNCTIONS :

• Assure that patients meet care criteria from admission through discharge.
• Initiate authorization with network providers.
• Maintain knowledge of clinical information for patient's stay by review of documentation, participate in staffing, attend care conferences and collaborate with other members of the treatment team.
• Perform concurrent review with network providers; monitor medical record documentation using knowledge of established guidelines to promote compliance and further ensure quality for retrospective review by external review entities
• Liaison with physician and other treatment team members to assure that all aspects of treatment are fully documented.
• Lead the flow of information between levels of care by collaborating with the admissions department, clinical and financial departments, and the patient and their family / guardian throughout program to provide a smooth transition at discharge.
• Coordinate resources with other community services and agencies. Discuss appropriateness of a continued stay or continued care by the facility with the multi-disciplinary team, third-party case managers, physicians and other departments.

Qualifications

EDUCATION / EXPERIENCE / SKILL REQUIREMENTS :

LICENSES / DESIGNATIONS / CERTIFICATIONS :

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