Case Managment Coordinator | Iredell Davis Behavioral Health | FT

Description The Case Management Coordinator is responsible for establishing, coordinating, and maintaining the process of inpatient admissions, pre-certifications, addressing insurance denials, collaborating with LLM and overseeing discharge planning and ensuring patients have a safe discharge plan. The Case Management Coordinator will collaborate with Intake Nurses, Utilization Review, Recreational Therapist and Social Workers, Patient/Family, Physicians, community resources and payers to ensure the patient’s progress and level of care is appropriately determined. The Case Management Coordinator has well developed knowledge and skills in patient status determination in the assessment and care management of patients and families within the inpatient setting. The scope of practice includes patient/family assessment and management, resource management, identifying patients appropriate for Inpatient Admission, discharge planning with referral to all levels of care, and other related duties specific to the defined patient population. She/he uses knowledge of pathophysiology, pharmacology, and clinical care processes to participate with other clinical staff and physicians in the development of clinical practice guidelines and physician order sets for the purpose of improving quality of care, changing practice, and reducing costs. Has full access to patient health information

Requirements

Current Registered Nurse licensure in North Carolina

ASN or BSN degree obtained from an accredited institution

3-5 years experience in a clinical setting required.

Experience in case management preferred

Project management skills

Knowledgeable about Behavioral Health reporting requirements- including NHSN, Inpatient quality reporting for CMS and the Joint Commission.

Experience with payor contracts, LLM’s and insurance denial processes.

Knowledgeable about current healthcare regulatory standards

Excellent verbal, written, communication and organizational skills

Knowledge of computer applications- Word, Excel, etc

Essential Physical Requirements

Must possess full range of body motion to pass a basic FIT test to include bending, stooping, standing and sitting for extended periods of time.

Must be able to lift and carry up to 30 pounds.

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