Competitive salary commensurate with experience; n...
Reviewing admissions and continued stays
Analyzing insurance reimbursement policies
Coordinating discharge planning processes
The Care Manager is responsible for reviewing assigned admissions, continued stays, and discharge coordination according to clinically valid criteria
Job Summary
The Care Manager is responsible for reviewing assigned admissions, continued stays, and discharge coordination according to clinically valid criteria.
Candidates must analyze client records to determine treatment appropriateness while ensuring compliance with government and insurance reimbursement policies.
Creekside 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 assigned admissions, continued stays, and discharge coordination according to clinically valid criteria.
Salary
Competitive salary commensurate with experience; Not specified; Comprehensive benefit plan included
Skills & Requirements
Must-have
Reviewing admissions and continued stays
Analyzing insurance reimbursement policies
Coordinating discharge planning processes
Appealing insurance denials effectively
Maintaining confidential utilization files
Nice-to-have
Direct clinical experience in psychiatric settings
Collaboration with family members and support groups
Knowledge of community financial and housing resources
Experience with quality assurance reviews
Key Requirements
Master's degree in social work, mental health, or nursing
One year's experience with external review organizations
Valid RN or LPN license if applicable
CPR, de-escalation, and restraint certification required
Comprehensive understanding of hospital admission criteria