Behavioral Health Case Management Manager manages a staff of case managers responsible for emotional, mental or psychological patient care coordination. Evaluates performance of case managers. Being a Behavioral Health Case Management Manager ensures care provided is in accordance with clinical guidelines and organizational standards. Requires a bachelor's degree. Additionally, Behavioral Health Case Management Manager typically reports to a head of a unit/department. The Behavioral Health Case Management Manager manages subordinate staff in the day-to-day performance of their jobs. True first level manager. Ensures that project/department milestones/goals are met and adhering to approved budgets. Has full authority for personnel actions. Extensive knowledge of department processes. To be a Behavioral Health Case Management Manager typically requires 5 years experience in the related area as an individual contributor. 1 to 3 years supervisory experience may be required. (Copyright 2024 Salary.com)
Overview
Assists with case management and other related duties by working collaboratively with the multidisciplinary team to achieve desired clinical, service and cost outcomes. Interprets and abstracts clinical information from multiple sources including electronic medical records, electronic data bases, and for the knowledge of electronic data entry and submission of information to identified internal and external customers. Assists in the completion of elements involving pre/recertification and discharge planning such as copying records, researching benefits, arranging for assigned covered services and obtaining or completing appropriate forms and applications. Coordinates services for the patient between the hospital and community agencies, alternative level of care facilities, financial sources and government funded programs.
• High School Diploma/GED required. Associate's Degree preferred.
• 1-3 years of experience required.
• Requires the ability to comprehend third party contractual arrangements.
• Requires basic computer skills including the ability to enter progress notes and other data in multiple medical record systems. Basic familiarity with Excel, Word, Outlook, and PowerPoint.
• Requires some knowledge of anatomy, physiology, and medical terminology.
• Requires some knowledge of managed care and government healthcare benefits.
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