Senior Psychiatric Case Manager — Elevate Care

Lake Charles Memorial Health System; Lake Charles (LA); On-site; USD 60,000 - 90,000; Full time

Job summary

Lake Charles Memorial Health System seeks a Psychiatric Case Manager to supervise daily department operations and staff, driving improvements such as reducing denials and increasing efficiency. Reports to the Director of Psychiatric Services and collaborates with clinical teams to optimize patient care.

Responsibilities include preparing notification letters, performing utilization reviews, ensuring regulatory compliance, and overseeing review of records and treatment plans.

Qualifications

• Requires BA; Social Work preferred OR Nursing Certification with RN preferred.
• Minimum 3–5 years experience with mentally ill or addictions.
• Must hold Louisiana nursing license or multistate compact license; CPR.

Responsibilities

• Prepare notification letters for providers and employees.
• Perform utilization review per state regulations.
• Maintain compliance with utilization management regulations.
• Review medical records for ongoing hospitalization needs and patient progress.
• Review and validate physician orders and progress notes; process denials appeals.

Skills

Communication with patients

Leadership

Organizational skills

Resilience

Education

BA required

Social Work preferred

RN nursing license preferred

Job description

Lake Charles Memorial Health System seeks a Psychiatric Case Manager to supervise daily department operations and staff, driving improvements such as reducing denials and increasing efficiency. Reports to the Director of Psychiatric Services and collaborates with clinical teams to optimize patient care.

Responsibilities include preparing notification letters, performing utilization reviews, ensuring regulatory compliance, and overseeing review of records and treatment plans.