Psychiatric UM Case Manager: Care Coordination

Havenwyck Hospital Inc.; Auburn Hills (MI); On-site; USD 65,000 - 90,000; Full time

Benefits offered by this job

Competitive compensation

Generous paid time off

Medical, dental, vision and Rx plan

401(k) with company match

Career development opportunities

SoFi student loan refinancing program

Student loan repayment program

Job summary

Havenwyck Hospital in Auburn Hills, MI seeks a Utilization Management Case Manager to organize and conduct the managed care process, supporting the hospital's mission of excellence in care and service.

You will review admissions and stays with external payers, apply criteria to determine medical necessity and level of care, assist discharge planning, and coordinate with the treatment team and external agencies.

Qualifications

• Bachelor degree in social work, psychology, counseling or nursing required.
• Master's degree in social work, psychology, or counseling preferred.
• Limited or fully licensed (LBSW, RN, LLMSW, LLP, TLLP, LPC, LMFT, etc.).
• A minimum of 2 years of post-graduate related experience in psychiatric or substance abuse treatment required.
• Familiarity with manager health care process, medical terminology, experience in case management, discharge planning, and/or utilization review preferred.

Responsibilities

• Through clinical skills (experience and knowledge), reports to external insurance and review entities an accurate presentation of the medical management of a patient's illness, length of stay and care alternatives available within the confines on the client's benefits and financial resources.
• Communicates with the Treatment Team (physicians, nursing staff, social workers, etc.) as necessary to advocate for the patient's clinical treatment within the confines on the client's benefits and financial resources.
• Using clinical skills (experience and knowledge) assists the team in ensuring the completeness and accuracy of the medical records.
• Performs other related duties as assigned.

Education

Bachelor Degree in social work, psychology, counseling or nursing

Master's degree in social work, psychology, or counseling

Job description

Havenwyck Hospital in Auburn Hills, MI seeks a Utilization Management Case Manager to organize and conduct the managed care process, supporting the hospital's mission of excellence in care and service.

You will review admissions and stays with external payers, apply criteria to determine medical necessity and level of care, assist discharge planning, and coordinate with the treatment team and external agencies.