The Care Manager is responsible for reviewing of assigned admissions, continued stays, utilization practices and discharge coordination and planning according to approved clinically valid criteria and meeting the daily deadlines to obtain authorizations and complete other pertinent processes
Job Summary
The Care Manager is responsible for reviewing of assigned admissions, continued stays, utilization practices and discharge coordination and planning according to approved clinically valid criteria and meeting the daily deadlines to obtain authorizations and complete other pertinent processes.
Ensures each assigned client has a structured and clinically appropriate post hospitalization care plan.
Raleigh Oaks 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 of assigned admissions, continued stays, utilization practices and discharge coordination and planning according to approved clinically valid criteria and meeting the daily deadlines to obtain authorizations and complete other pertinent processes.
Skills & Requirements
Must-have
Review admissions and continued stays
Coordinate discharge planning
Obtain authorizations
Analyze client records for appropriateness
Communicate with business office
Maintain Utilization Review files
Nice-to-have
Support continuation of care
Collaborate with family members
Key Requirements
Master's degree or accredited school of nursing
One year experience with external review organizations