UR Case Manager: Discharge & Payer Advocate

Rogers Memorial Hospital, Inc.; Town of Oconomowoc (WI); Vor Ort; USD 65.000 - 90.000; Vollzeit

Benefits dieser Stelle

Health, dental, and vision insurance

401(k) retirement plan

Tuition reimbursement

Zusammenfassung

Rogers Behavioral Health seeks a UR Case Management Specialist to lead the facilitation of the treatment process from admission to discharge. This role monitors care quality, collaborates with interdisciplinary teams, and advocates for medical necessity with payers to ensure appropriate authorization and timely discharge planning.

Key duties include coordinating patient care, communicating with payer strategies, and supporting staff with standard procedures to meet Joint Commission and other

Qualifikationen

• Bachelor’s degree required; Behavioral Science or Human Services preferred.
• Computer skills including word processing and spreadsheets are required.

Aufgaben

• Coordinate and track patient care from admission to discharge.
• Liaise with payers for medical necessity authorization and facilitate peer-to-peer reviews.
• Ensure aftercare planning and discharge coordination across departments.
• Maintain documentation standards and support regulatory compliance.
• Provide education and training to clinical staff on medical necessity documentation.

Jobbeschreibung

Rogers Behavioral Health seeks a UR Case Management Specialist to lead the facilitation of the treatment process from admission to discharge. This role monitors care quality, collaborates with interdisciplinary teams, and advocates for medical necessity with payers to ensure appropriate authorization and timely discharge planning.

Key duties include coordinating patient care, communicating with payer strategies, and supporting staff with standard procedures to meet Joint Commission and other