What are the responsibilities and job description for the CASE MANAGER- PRN position at Southcoast Behavioral Health?
Overview :
Join the transformative Southcoast Behavioral Health team and be part of a difference-making journey every day!
Southcoast Behavioral Health, located in Dartmouth, Massachusetts, is a premier mental health treatment center with 192 beds. We serve pediatric, adolescent, adult, and geriatric patients, as well as adults with co-occurring mental health and substance use disorders.
PURPOSE STATEMENT :
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 patients 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.
OTHER FUNCTIONS :
Qualifications :
EDUCATION / EXPERIENCE / SKILL REQUIREMENTS :
LICENSES / DESIGNATIONS / CERTIFICATIONS :
ADDITIONAL REGULATORY REQUIREMENTS :
While this job description is intended to be an accurate reflection of the requirements of the job, management reserves the right to add or remove duties from particular jobs when circumstances
e.g. emergencies, changes in workload, rush jobs or technological developments) dictate.
We are committed to providing equal employment opportunities to all applicants for employment regardless of an individuals characteristics protected by applicable state, federal and local laws.
CASMGR3F
