PURPOSE STATEMENT:
Assess, plan, implement, coordinate, monitor and evaluate services to meet an individual's needs during treatment.
ESSENTIAL FUNCTIONS:
- Assure residents meet criteria for admission, and review initial clinical information through discharge.
- Monitor and manage client/patient/resident's cases through development and implementation of individual care plans, collecting clinical data and remain informed by continuous review of documentation.
- Coordinate care by tracking, monitoring, and reporting on inpatient or outpatient care.
- Manage client/patient/resident's cases with knowledge and expertise with the patient population of the facility.
- Convey medical criteria and clinical information between the client/patient/residents' insurance provider and treatment team as warranted and may also provide this information to the business office, as needed.
- Conduct precertification with third party payers and negotiate approved days with the provider for the patient/resident admission.
- Assigned tasks for admission review, concurrent review and participate in discharge planning.
OTHER FUNCTIONS:
- Perform other functions and tasks as assigned.
EDUCATION/EXPERIENCE/SKILL REQUIREMENTS:
- Bachelor's degree in Health Administration, Social Science or a related field or relevant previous job experience required.
- Ability to create and maintain professional liaison with community agencies and organizations to ensure continuity of care.
- Knowledge of mental health and substance use fields is preferred.
LICENSES/DESIGNATIONS/CERTIFICATIONS:
CPR and de-escalation/restraint certification required (training available upon hire and offered by facility).
- First aid may be required based on state or facility.
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