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CASE MANAGER


Shift Day


Location

Bowling Green, KY | United States


Job description

Responsibilities

POSITION SUMMARY

Coordinates and tracks all of the discharges in the hospital. This includes maintaining of an ongoing discharge calendar, aftercare providers, and trends regarding patient          discharges. Works closely with Case Management Supervisor to carry out objectives regarding the provision of utilization management, discharge planning, clinical care and            payor source coordination for patients.

MAJOR DUTIES AND RESPONSIBILITIES

  1. Conduct prior authorization with insurance agencies.

  1. Step down coordinator for Adult Services.

  1. Maintains an ongoing and accurate record of all scheduled discharges in the hospital.

  1. Communicate with the therapist/case managers to anticipate and report any foreseeable problems regarding the continued stay or discharge planning of patients.

  1. Monitor and report to Case Management Supervisor the ongoing documentation regarding discharge planning to help identify problems given that interventions can proceed issues which hinder discharge planning.

  1. Maintains ongoing list of referral sources and aftercare providers for all patients.

  1. Coordinates with the therapist, physician and other treatment team members, to ensure that referral sources, aftercare providers, and other involved parties are communicated with appropriately.

  1. Attends treatment team meetings on all units as needed to provide and collect information pertinent to the continued stay and discharge planning of patients.

  1. Completes reviews of charts and makes recommendations to therapist and treatment team regarding balancing of resources with discharge planning.

  1. Contacts reimbursement agencies at regularly identified intervals to justify admission to hospital, continued hospitalization, and discharge planning.

  1. Co m pletio n of Discharge Planning and aftercare arrangements for all assigned patients. This includes scheduling of aftercare appointments, and coordinates discharge conference.

  1. W ill adhere to all safety policies and safe work practice.

  1. W ill attend hospital safety trainings.

  1. W ill adhere to all hospital policies and procedures.

  1. W ill report all accidents imm
Qualifications

QUALIFICATIONS

Education: A Masters degree in Social work, Psychology, or other Mental Health field is preferred. A BA degree in Mental Health or Human Services related field or a Bachelor’s degree with 2 years experience in a Psych Hospital or a degree in Nursing and licensure by Kentucky as a Registered Nurse or Licensed Practical Nurse is required.

Training  and  Experience: Experience  in  psychiatric  hospital  admission,  assessment  and/or

Utilization Management departments is preferred.


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