Senior Psychiatric Case Manager & Team Lead

Lake Charles Memorial Health System; Lake Charles (LA); Presencial; USD 65.000 - 90.000; Jornada completa

Descripción de la vacante

Lake Charles Memorial Health System in Lake Charles, LA, is seeking a Psychiatric Case Manager to supervise daily department operations and staff, drive quality improvements, and ensure efficient utilization management.

Responsibilities include preparing notification letters, conducting utilization reviews, reviewing records, coordinating appeals, and attending approvals meetings. A strong background in social services and nursing licensure is preferred.

Formación

• Degree in Social Services, Psychology or related field; LPN/RN licensure preferred.
• Minimum 5-7 years experience with mentally ill and/or addictions.
• Louisiana Nursing License or multi-state compact nursing license; Crisis Response Training, CPR.
• Ability to communicate with patient, family, peers and medical personnel.
• Requires emotional stability and resilience.
• Adaptable to change, decisive, and demonstrate foresight.
• Exhibits organizational and leadership ability.
• Shows ability to gain and maintain support and respect.

Responsabilidades

• Prepares information for notification letters for providers and employees.
• Performs utilization review in accordance with state mandated regulations.
• Maintains compliance with regulation changes affecting utilization management.
• Performs continuing review on medical records and identification and need of on-going hospitalization.
• Reviews patients' records and evaluates patient progress.
• Obtains and reviews necessary medical reports and treatment plan requests to conduct review.
• Reviews and validates physician's orders, reports progress and unusual occurrences on patients.
• Receives & processes requests for appeal of denials.
• Attends required meetings regarding approvals, denials, pre-certs, authorizations and retro reviews.

Conocimientos

Communication

Emotional stability

Adaptability

Leadership

Decisiveness

Educación

Social Services/Related Degree

LPN/RN licensure preferred

Descripción del empleo

Lake Charles Memorial Health System in Lake Charles, LA, is seeking a Psychiatric Case Manager to supervise daily department operations and staff, drive quality improvements, and ensure efficient utilization management.

Responsibilities include preparing notification letters, conducting utilization reviews, reviewing records, coordinating appeals, and attending approvals meetings. A strong background in social services and nursing licensure is preferred.