Behavioral Health Care Coordination Specialist

Driscoll Children's Hospital; Corpus Christi (TX); On-site; USD 68,000 - 90,000; Full time

Job summary

Driscoll Children's Hospital invites applications for a Utilization Management Case Manager. This role coordinates care resources, assesses patient needs, and collaborates with physicians and health plan teams to ensure appropriate levels of care across the continuum.

Requires RN or LCSW with 3+ years clinical experience and inpatient case management exposure. The position focuses on utilization review, evidence-based pathways, and interdisciplinary collaboration to optimize outcomes and stay

Qualifications

• Graduation from an accredited school of Registered Nursing or LCSW.
• Minimum of three years of clinical experience required.
• One year of acute inpatient case management or managed care utilization management experience preferred.

Responsibilities

• Coordinate and ensure efficient utilization of healthcare resources.
• Assess clinical findings and determine appropriate level of care.
• Collaborate with physicians, health plan staff and case managers.
• Apply benefits, protocols and evidence-based guidelines to patient care.
• Perform prospective, concurrent or retrospective reviews of care.
• Communicate with providers to facilitate timely disposition and safe discharge.
• Participate in quality and performance improvement activities.

Skills

Time management

Effective communication

Interpersonal skills

MS Office proficiency

Clinical reasoning

Education

RN (Registered Nurse)

LCSW (Licensed Clinical Social Worker)

Tools

Microsoft Office

Job description

Driscoll Children's Hospital invites applications for a Utilization Management Case Manager. This role coordinates care resources, assesses patient needs, and collaborates with physicians and health plan teams to ensure appropriate levels of care across the continuum.

Requires RN or LCSW with 3+ years clinical experience and inpatient case management exposure. The position focuses on utilization review, evidence-based pathways, and interdisciplinary collaboration to optimize outcomes and stay