What are the responsibilities and job description for the Clinical Case Manager position at Southcoast Behavioral Health?
Job Summary
The Clinical Case Manager will be responsible for managing patient cases with a high degree of clinical knowledge and expertise. This role requires strong communication skills, as well as the ability to work effectively in a team environment.
About Southcoast Behavioral Health
Southcoast Behavioral Health is a premier mental health treatment center located in Dartmouth, Massachusetts. We serve pediatric, adolescent, adult, and geriatric patients, as well as adults with co-occurring mental health and substance use disorders.
Key Responsibilities
- Assure that patients meet care criteria from admission through discharge.
- Initiate authorization with network providers.
- Maintain knowledge of clinical information for patients' stays by reviewing documentation, participating in staffing, attending care conferences, and collaborating 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 physicians 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 the program to provide a smooth transition at discharge.
- Coordinate resources with other community services and agencies.
