The Behavioral Health case manager is responsible for case management across the continuum of care utilizing an interdisciplinary approach to managing patient throughput in a fiscally responsible manner to achieve optimal outcomes. Also responsible for the coordination of care, utilization review, acting as a resource to patients, family and/or significant others and staff; referrals to clinical social worker for psycho-social issues and complicated discharge planning issues; overseeing coordination of post-hospital care needs; interacting with insurance companies, medical groups, and community resources to ensure timely, efficient use of all services. Applies knowledge of the expected clinical process, available resources, medical necessity criteria, regulatory requirements, and relevant standards of care in anticipating patient needs.
Licensure and Certification:
Knowledge and Skills: