Case Manager

Peak Behavioral Health

Espanola, New Mexico, US
Client record analysis
Discharge planning
Authorization processes
The Case 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 Case 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 and meets with assigned clients to ensure an individualized discharge plan is created and implemented.
  • Peak Behavioral Health offers a comprehensive benefit plan and a competitive salary commensurate with experience and qualifications.

Matching Summary

The Case 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

  • Client record analysis
  • Discharge planning
  • Authorization processes
  • Clinical criteria compliance
  • Utilization review

Nice-to-have

  • Community resource knowledge
  • Family collaboration
  • Treatment team engagement

Key Requirements

  • Master's degree or nursing degree
  • One year external review experience
  • RN or LPN license
  • CPR and de-escalation certification

Work Rights

Not specified

Tailored Resume

Cover Letter