Case Manager

Creekside BH

Charleston, West Virginia, US
Competitive salary commensurate with experience; n...
Not specified
Reviewing client records for admission appropriateness
Coordinating discharge planning and post-hospitalization care
Appealing insurance denials effectively
The Case Manager position at Creekside BH in Charleston, West Virginia, involves coordinating patient admissions, treatment plans, and discharge processes in compliance with clinical and insurance standards. Candidates should have a Master’s degree in social work or nursing, along with experience in psychiatric settings and communication with external review organizations

Job Summary

  • The Care Manager is responsible for reviewing admissions, continued stays, and discharge coordination according to clinically valid criteria.
  • The role requires analyzing insurance and governmental standards to determine appropriate treatment length of stay and ensuring accurate charting.
  • Highland Hospital offers a comprehensive benefit plan and competitive salary while valuing the unique strengths of the military community.

Matching Summary

Match Score: 75

The Case Manager position at Creekside BH in Charleston, West Virginia, involves coordinating patient admissions, treatment plans, and discharge processes in compliance with clinical and insurance standards. Candidates should have a Master’s degree in social work or nursing, along with experience in psychiatric settings and communication with external review organizations.

Salary

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

Skills & Requirements

Must-have

  • Reviewing client records for admission appropriateness
  • Coordinating discharge planning and post-hospitalization care
  • Appealing insurance denials effectively
  • Ensuring compliance with government reimbursement policies
  • Communicating with multidisciplinary medical teams

Nice-to-have

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

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 certification required
  • Comprehensive understanding of utilization review criteria

Work Rights

Not specified

Tailored Resume

Cover Letter