Masters Level Care Manager

Creekside Behavioral Health

Kingsport, Tennessee, US
Competitive salary commensurate with experience; c...
Utilization review and authorization processes
Insurance and government regulatory standards analysis
Discharge planning and care coordination
The Care Manager is responsible for reviewing admissions, continued stays, and discharge planning according to clinically valid criteria

Job Summary

  • The Care Manager is responsible for reviewing admissions, continued stays, and discharge planning according to clinically valid criteria.
  • The role requires analyzing client records to determine the appropriateness of treatment and length of stay while ensuring compliance with reimbursement policies.
  • Creekside Behavioral Health offers a comprehensive benefit plan and a competitive salary commensurate with experience.

Matching Summary

The Care Manager is responsible for reviewing admissions, continued stays, and discharge planning according to clinically valid criteria.

Salary

Competitive salary commensurate with experience; Comprehensive benefit plan included

Skills & Requirements

Must-have

  • Utilization review and authorization processes
  • Insurance and government regulatory standards analysis
  • Discharge planning and care coordination
  • Medical record documentation and auditing
  • Appeals management for claim denials

Nice-to-have

  • Direct psychiatric or mental health clinical experience
  • Collaboration with multidisciplinary treatment teams
  • Knowledge of community resource networks
  • Experience with quality assurance reviews

Key Requirements

  • Master's degree in social work, mental health, nursing, or related field
  • One year experience with external review organizations
  • Valid RN or LPN license if applicable
  • CPR, de-escalation, and restraint certification required

Work Rights

Not specified

Tailored Resume

Cover Letter