Masters Level Care Manager - Op

Summit Behavioral Health Corporation

Knoxville, Tennessee, US
Competitive salary commensurate with experience; n...
Review client records for admission appropriateness
Coordinate discharge planning with clients and families
Appeal insurance denials effectively
The Care Manager is responsible for reviewing admissions, continued stays, and coordinating discharges according to clinically valid criteria

Job Summary

  • The Care Manager is responsible for reviewing admissions, continued stays, and coordinating discharges according to clinically valid criteria.
  • Candidates must analyze insurance and governmental regulations to determine appropriate treatment lengths and ensure reimbursement compliance.
  • Creekside Behavioral Health offers a comprehensive benefit plan and values the unique strengths of the military community.

Matching Summary

The Care Manager is responsible for reviewing admissions, continued stays, and coordinating discharges according to clinically valid criteria.

Salary

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

Skills & Requirements

Must-have

  • Review client records for admission appropriateness
  • Coordinate discharge planning with clients and families
  • Appeal insurance denials effectively
  • Ensure compliance with regulatory standards
  • Collaborate with multidisciplinary medical teams

Nice-to-have

  • Direct clinical experience in psychiatric settings
  • Knowledge of community resources and support groups
  • Experience with managed care organizations
  • Strong written communication skills for technical reports

Key Requirements

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

Work Rights

Not specified

Tailored Resume

Cover Letter