Peak Behavioral Health is seeking a Case Manager in Espanola, New Mexico, responsible for coordinating client admissions, treatment reviews, and discharge planning, ensuring compliance with regulatory standards. The ideal candidate should possess a Master’s degree in social work or a related field and have experience in a mental health setting
Job Summary
The Case Manager is responsible for reviewing assigned admissions, utilization practices, and discharge planning to ensure compliance with clinical criteria and timely authorizations.
Peak Behavioral Health offers a comprehensive benefit plan and a competitive salary commensurate with experience and qualifications.
The organization values veterans and military spouses and is dedicated to serving veterans with specialized programming nationwide.
Matching Summary
Match Score: 80
Peak Behavioral Health is seeking a Case Manager in Espanola, New Mexico, responsible for coordinating client admissions, treatment reviews, and discharge planning, ensuring compliance with regulatory standards. The ideal candidate should possess a Master’s degree in social work or a related field and have experience in a mental health setting.
Skills & Requirements
Must-have
Admission and utilization review
Discharge planning and coordination
Communication with multidisciplinary teams
Knowledge of insurance and reimbursement policies
Maintaining confidential medical records
Client care plan development
Nice-to-have
Collaboration with family and significant others
Engagement in treatment team meetings
Knowledge of community resources
Appeals management for denials
Quality assurance review participation
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 and de-escalation and restraint certification
Direct clinical experience in psychiatric or mental health setting preferred