Care Manager-Behavioral Health-Lutheran

Socket.dev; Des Moines (IA); On-site; USD 65,000 - 90,000; Full time

Job summary

The Behavioral Health Care Manager at UnityPoint Health integrates the care of the individual within Behavioral Health Services. The role works in a multidisciplinary team, offering elements of therapeutic modalities and serving as a liaison for the patient and other services to ensure seamless care.

Responsibilities include utilization management, discharge planning, and coordination of a multidisciplinary plan of care across the health care continuum.

Qualifications

• Bachelor of Arts/Science Degree in a health care/human services related field or RN.
• Master’s degree in a healthcare/human services related field is highly encouraged.
• Two years of clinical experience in focused areas working with multidisciplinary teams.
• Licensure appropriate to population served.
• Valid driver’s license when driving any vehicle for work-related reasons.

Responsibilities

• Addresses and monitors length of stay issues and level of care changes for compliance.
• Documents the case management plan to include clinical needs, barriers to quality care, and resource utilization; pursues referrals promptly.
• Collects data, analyzes trends, and reports on patterns of care and resource utilization.
• Assess the individual's health status and coordinate referrals to multi-disciplinary services.
• Monitors and coordinates an interdisciplinary plan of care across the health care continuum and during transitions.
• Develops and implements an effective discharge plan for complex-care patients and coordinates transitions.
• Demonstrates knowledge of financial and reimbursement processes to support medical cost management.
• Educates patient, family, staff and physicians regarding benefits, utilization of resources, levels of care, and transition expectations.

Skills

Multidisciplinary teamwork

Communication skills

Education

Bachelor of Arts/Science in health care or related field or RN

Master’s degree in healthcare/human services (encouraged)

Job description

Overview

The Behavioral Health Care Manager integrates the care of the individual within Behavioral Health Services. The Behavioral Care Manager will function within a multidisciplinary team, offer some components of therapeutic modalities and will be a liaison for the patient and other services. Those services will include, but are not limited to discharge placement referrals, interdepartmental referrals and reimbursement options for patients. The care coordinator serves as a central source of communication for the patient and their support systems. A Behavioral Health Care Manager may serve in one of two different tasks: utilization management and care coordination. Primary task is assigned via manager of care management. All members of this team will work together to ensure the patient’s care is seamless.

Why UnityPoint Health?

At UnityPoint Health, you matter. We’re proud to be recognized as a Top 150 Place to Work in Healthcare by Becker’s Healthcare several years in a row for our commitment to our team members.

Our competitive Total Rewards program offers benefits options that align with your needs and priorities, no matter what life stage you’re in. Here are just a few:

• Expect paid time off, parental leave, 401K matching and an employee recognition program.

• Dental and health insurance, paid holidays, short and long-term disability and more. We even offer pet insurance for your four-legged family members.

• Early access to earned wages with Daily Pay, tuition reimbursement to help further your career and adoption assistance to help you grow your family.

With a collective goal to champion a culture of belonging where everyone feels valued and respected, we honor the ways people are unique and embrace what brings us together.

And, we believe equipping you with support and development opportunities is a vital part of delivering an exceptional employment experience.

Find a fulfilling career and make a difference with UnityPoint Health.

Responsibilities

Utilization Management:

Addresses and monitors length of stay issues and level of care changes for compliance

Documents the case management plan to include: clinical needs, barriers to quality care, effective utilization of resources and pursues denials of payment and referrals in a timely, legible manner.

Collects appropriate data, trends, analyzes and reports on patterns of care, possible avoidable delays in transition, variance from pathways and resource utilization

Care Coordination/ Discharge Planning:

Assesses the individual’s health status, including clinical conditions, support systems and resources to identify needs and make referrals to appropriate multi-disciplinary services.

Monitors and coordinates an interdisciplinary plan of care in partnership with the individual and their support services for needs and services across the health care continuum and for transition through the levels and locations of care.

Assumes accountability for the development and implementation of an effective discharge plan for complex-care patients. Works with internal and external resources to coordinate a timely and safe transition of patient to the appropriate level of care.

Documents the case management plan to include: clinical needs, barriers to quality care, effective utilization of resources and pursues referrals in timely manner.

Revenue Cycle:

Demonstrates a working knowledge of financial and reimbursement processes to facilitate medical cost management, including best practices, effective utilization of resources, linking clinical and financial aspects of care, and access to care and level of care.

Serves as a resource and educator to patient, family, staff and physicians regarding financial aspects of individual patient’s resources which may affect the transition of patients through the healthcare system.

Provides education for the individual and family and for the team regarding benefits, utilization of resources, levels of care, and expectations of the transition process throughout settings across the healthcare continuum. Facilitates empowerment of the patient and family in self-management and health care decision-making.

Qualifications

Education:

Bachelor of Art/Science Degree in a health care/human services related field or RN.

Master’s degree in a healthcare/human services related field is highly encouraged.

Experience:

Two years of clinical experience in focused areas working with multidisciplinary teams.

Licensure appropriate to population served.

License(s)/Certification(s):

Valid driver’s license when driving any vehicle for work-related reasons.