Masters Level Care Manager - Op

Summit BHC

Knoxville, Tennessee, US
Competitive salary commensurate with experience; n...
Reviewing admission and continued stay criteria
Appealing insurance denials effectively
Coordinating multidisciplinary treatment teams
The Care Manager is responsible for reviewing assigned admissions, continued stays, and discharge coordination according to approved clinically valid criteria

Job Summary

  • The Care Manager is responsible for reviewing assigned admissions, continued stays, and discharge coordination according to approved clinically valid criteria.
  • Candidates must analyze insurance and governmental regulatory standards to determine the appropriateness of client treatment and length of stay.
  • Creekside Behavioral Health offers a comprehensive benefit plan and a competitive salary commensurate with experience and qualifications.

Matching Summary

The Care Manager is responsible for reviewing assigned admissions, continued stays, and discharge coordination according to approved clinically valid criteria.

Salary

Competitive salary commensurate with experience; Not specified; Comprehensive benefit plan included

Skills & Requirements

Must-have

  • Reviewing admission and continued stay criteria
  • Appealing insurance denials effectively
  • Coordinating multidisciplinary treatment teams
  • Creating structured discharge care plans
  • Maintaining confidential utilization review files

Nice-to-have

  • Direct clinical experience in psychiatric settings
  • Knowledge of community financial and housing resources
  • Collaboration with family members for support
  • Experience with quality assurance reviews

Key Requirements

  • Master's degree in social work, mental health, or nursing
  • One year's experience with external review organizations
  • Valid RN or LPN license if applicable
  • CPR, de-escalation, and restraint certification required

Work Rights

Not specified

Tailored Resume

Cover Letter