Case Management Coordinator

Harboroaks; Saddlebrooke (AZ); On-site; USD 55,000 - 75,000; Full time

Job summary

Sierra Tucson, Tucson, AZ, is seeking a Case Management Coordinator to assess, plan, implement, coordinate, monitor and evaluate services for residents during treatment.

Responsibilities include screening admission criteria, developing individual care plans, coordinating inpatient and outpatient care, and communicating with insurers and the treatment team.

A Bachelor’s degree in Health Administration or related field is required; CPR and de-escalation certification are expected.

Qualifications

• Bachelor’s degree in Health Administration, Social Science or related field.
• Ability to create and maintain professional liaison with community agencies.
• 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.

Skills

Professional liaison

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.

Experienced in the Behavioral Health field? Sierra Tucson is seeking a Case Management Coordinator. For 40 years, Sierra Tucson has been a place of peace, hope, and healing. On our serene, 160-acre campus, experienced professionals provide integrative, evidence-based care to help adults of all genders achieve lasting recovery from addiction and mental illness. Sierra Tucson is accredited by the Joint Commission and dual licensed as both an Inpatient Behavioral Health Unit and Residential Treatment Center. We are internationally known and respected as a leader in the treatment of addictions, behavioral disorders, and chronic pain.

Sierra Tucson: 39580 S. Lago Del Oro Pkwy. Tucson, AZ 85739

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.

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