East Tennessee Behavioral Health
Case Management Coordinator
East Tennessee Behavioral Health, Knoxville, Tennessee, United States, 37955
Purpose Statement
Assess, plan, implement, coordinate, monitor, and evaluate services to meet an individual’s needs during treatment.
Essential Functions
Assure residents meet criteria for admission, and review initial clinical information through discharge.
Monitor and manage client/patient/resident’s cases through development and implementation of individual care plans, collecting clinical data and remaining informed by continuous review of documentation.
Coordinate care by tracking, monitoring, and reporting on inpatient or outpatient care.
Manage client/patient/resident’s cases with knowledge and expertise in the patient population of the facility.
Convey medical criteria and clinical information between the client/patient/resident’s insurance provider and the treatment team as warranted, and may also provide this information to the business office, as needed.
Conduct precertification with third‑party payers and negotiate approved days with the provider for the patient/resident admission.
Assign tasks for admission review, concurrent review, and participate in discharge planning.
Other Functions
Perform other functions and tasks as assigned.
Education / Experience / Skill Requirements
Bachelor’s degree in Health Administration, Social Science, or a related field, or relevant previous job experience.
Ability to create and maintain professional liaisons with community agencies and organizations to ensure continuity of care.
Knowledge of mental health and substance use fields preferred.
Licenses / Designations / Certifications CPR and de‑escalation/restraint certification required (training available upon hire and offered by facility).
First aid may be required based on state or facility.
We are committed to providing equal employment opportunities to all applicants for employment regardless of an individual’s characteristics protected by applicable state, federal and local laws.
Seniority Level
Entry level
Employment Type
Full‑time
Job Function
Other
Industries: Mental Health Care
#J-18808-Ljbffr
Essential Functions
Assure residents meet criteria for admission, and review initial clinical information through discharge.
Monitor and manage client/patient/resident’s cases through development and implementation of individual care plans, collecting clinical data and remaining informed by continuous review of documentation.
Coordinate care by tracking, monitoring, and reporting on inpatient or outpatient care.
Manage client/patient/resident’s cases with knowledge and expertise in the patient population of the facility.
Convey medical criteria and clinical information between the client/patient/resident’s insurance provider and the treatment team as warranted, and may also provide this information to the business office, as needed.
Conduct precertification with third‑party payers and negotiate approved days with the provider for the patient/resident admission.
Assign tasks for admission review, concurrent review, and participate in discharge planning.
Other Functions
Perform other functions and tasks as assigned.
Education / Experience / Skill Requirements
Bachelor’s degree in Health Administration, Social Science, or a related field, or relevant previous job experience.
Ability to create and maintain professional liaisons with community agencies and organizations to ensure continuity of care.
Knowledge of mental health and substance use fields preferred.
Licenses / Designations / Certifications CPR and de‑escalation/restraint certification required (training available upon hire and offered by facility).
First aid may be required based on state or facility.
We are committed to providing equal employment opportunities to all applicants for employment regardless of an individual’s characteristics protected by applicable state, federal and local laws.
Seniority Level
Entry level
Employment Type
Full‑time
Job Function
Other
Industries: Mental Health Care
#J-18808-Ljbffr