Case Management Coordinator

Harboroaks; Belton (TX); On-site; USD 55,000 - 75,000; Full time

Job summary

Harboroaks in Texas seeks a skilled Healthcare Case Manager to assess, plan, implement, coordinate, monitor and evaluate services for individuals during treatment. You will oversee admission to discharge, develop care plans, and coordinate inpatient or outpatient care in collaboration with clinical teams.

The ideal candidate holds a Bachelor's in Health Administration or related field, with ability to liaise with community agencies and knowledge of mental health and substance use.

Qualifications

• Bachelor’s degree in Health Administration, Social Science or related field.
• Ability to liaise with community agencies to ensure continuity of care.
• Knowledge of mental health and substance use fields preferred.

Responsibilities

• Assess admission criteria and review clinical information from admission to discharge.
• Manage cases with care plans, collect clinical data, review documentation.
• Coordinate care and report on inpatient or outpatient services.
• Communicate with insurance providers and the treatment team on medical criteria.
• Conduct precertification with third party payers and negotiate admission days.
• Assist with discharge planning.
• Perform other functions as assigned.

Skills

Liaison skills

Healthcare coordination

Communication skills

Education

Bachelor’s degree in Health Administration or related field

Job description

Overview

PURPOSE STATEMENT:

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.

We are committed toprovidingequalemploymentopportunitiestoall applicantsforemploymentregardlessofanindividual’scharacteristicsprotected byapplicable state,federalandlocallaws.