Case Management Coordinator

East Tennessee Behavioral Health; Knoxville (TN); On-site; USD 50,000 - 70,000; Full time

Job summary

East Tennessee Behavioral Health in Knoxville, TN seeks an administrator to assess, plan, implement, coordinate, monitor and evaluate services to meet an individual’s needs during treatment.

The role involves reviewing admission criteria, developing care plans, coordinating inpatient and outpatient care, and interfacing with insurance providers and the business office to authorize services.

Qualifications

• Bachelor’s degree required or equivalent experience.
• Ability to liaise with community agencies to ensure continuity of care.
• Knowledge of mental health and substance use fields preferred.

Responsibilities

• 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.
• Perform other functions and tasks as assigned.

Education

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

Job description

Purpose Statement

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

Purpose Statement

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

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.

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.

EASTN

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.