Case Management Coordinator

Talentify; Belton (TX); On-site; USD 60,000 - 80,000; Full time

Job summary

Talentify is seeking a healthcare program coordinator to assess admission criteria, plan and coordinate services, and monitor treatment progress. The role involves communicating with insurers and the treatment team, handling precertification, and participating in discharge planning.

The candidate should have a Bachelor’s degree in Health Administration or a related field, or relevant experience, with strong liaison and coordination abilities within health/mental health settings.

Qualifications

• Bachelor's degree in Health Administration, Social Science or a related field or relevant previous job experience.
• Ability to create and maintain professional liaison with community agencies and organizations to ensure continuity of care.
• Knowledge of mental health and substance use fields is preferred.

Responsibilities

• Assess admission criteria and review initial clinical information through discharge.
• Develop and implement individual care plans and monitor progress.
• Coordinate care by tracking and reporting inpatient/outpatient services.
• Manage cases with knowledge of the patient population.
• Communicate medical criteria and information with insurers and treatment team as warranted.
• Handle precertification with third party payers and negotiate approved days.
• Assist with admission review, concurrent review and discharge planning.
• Perform other tasks as assigned.

Skills

Liaison skills

Care coordination

Documentation review

Education

Bachelor's degree Health Administration

Related field or relevant experience

Job description

Overview

Assess, plan, implement, coordinate, monitor and evaluate services to meet an individual's needs during treatment.

Responsibilities

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 remain 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 with the patient population of the facility.
• Convey medical criteria and clinical information between the client/patient/residents' insurance provider and 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.
• Assigned tasks for admission review, concurrent review and participate in discharge planning.

Other Functions

• Perform other functions and tasks as assigned.

Qualifications

Education/Experience/Skill Requirements

• Bachelor's degree in Health Administration, Social Science or a related field or relevant previous job experience required.
• Ability to create and maintain professional liaison with community agencies and organizations to ensure continuity of care.
• Knowledge of mental health and substance use fields is 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.

Equal Employment Opportunity Statement

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.