drjobs Case Manager - Behavioral Health

Case Manager - Behavioral Health

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1 Vacancy
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Job Location drjobs

Oklahoma City - USA

Monthly Salary drjobs

Not Disclosed

drjobs

Salary Not Disclosed

Vacancy

1 Vacancy

Job Description

Its more than a career its a calling

OKSSM Health St. Anthony Hospital Oklahoma City

Worker Type:

Regular

Job Highlights:

Department: Behavioral Health

Schedule: Full Time Days

Starting Pay: $23.41

Shift Differentials: Available for night weekend and additional shifts

Location: St. Anthony Hospital OKC

Our mission and values put the patient first and helps you to feel valued while respecting teamwork and collaboration. Our Case Management roles are an integral piece in our care team and we see it as a partnership. At SSM Health we know the healing power of presence begins with compassionate people like you.

Daily Pay: Getpaiddailydoing the work you love in a way that fits your life. At SSM Health we believe you deserve the flexibility to work a schedule that fits your life and to get paid when you need it.

Job Summary:

Coordinates systems and services with an organized transdisciplinary team approach which delivers quality costefficient care to patients through the continuum of health care services. Collaborates with the patient family and other members of the health care delivery team to facilitate appropriate movement through the care continuum.

Job Responsibilities and Requirements:

PRIMARY RESPONSIBILITIES

  • Assesses data to determine medical necessity and appropriateness of level of care/admission based on approved criteria. Completes insurance verification and authorizations for specific patient population from preadmission through discharge.
  • Manages patients benefits by checking insurance eligibility to optimize payment of services rendered for alternative costeffective levels of care. Notifies physician business office and patient/family of insurance denials.
  • Attends weekly treatment team meetings with physicians therapists and nursing staff to discuss treatment options benefits insurance authorizations and discharge planning.
  • Collects records and maintains clinical information gathered from concurrent or retrospective review and assess for medical necessity criteria.
  • Conducts appropriateness of admission and continued stay reviews concurrently or retrospectively.
  • Works effectively with internal and external customers and proactively improves case management processes.
  • Works in a constant state of alertness and safe manner.
  • Performs other duties as assigned.


EDUCATION

  • Bachelors degree in Mental Health or related field


EXPERIENCE

  • Three years experience

PHYSICAL REQUIREMENTS

  • Frequent reaching sitting standing and walking.
  • Frequent use of vision and depth perception for distances near 20 inches or less) and far 20 feet or more).
  • Frequent use of hearing and speech to share information through oral communication. Ability to hear alarms malfunctioning machinery etc.
  • Frequent keyboard use/data entry.
  • Occasional bending stooping climbing twisting and gripping.
  • Occasional lifting/carrying and pushing/pulling objects weighing 025 lbs.
  • Occasional use of vision to identify and distinguish colors.
  • Occasional driving.
  • Rare repetitive foot/leg and hand/arm movements and squatting.

REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS

State of Work Location: Illinois Missouri Oklahoma Wisconsin

  • Basic Life Support HealthCare Provider (BLS HCP) American Heart Association (AHA)

Work Shift:

Day Shift (United States of America)

Job Type:

Employee

Department:

Single Point of Entry

Scheduled Weekly Hours:
40

Benefits:

SSM Health values our exceptional employees by offering a comprehensive benefits package to fit their needs.

  • Paid Parental Leave: we offer eligible team members one week of paid parental leave for newborns or newly adopted children (prorated based on FTE).

  • Flexible Payment Options:our voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned unpaid base pay(fees may apply)before payday.

  • Upfront Tuition Coverage:we provide upfront tuition coverage through FlexPath Funded for eligible team members.

Explore All Benefits

SSM Health is an equal opportunity employer. SSM Health does not discriminate on the basis of race color religion national origin age disability sex sexual orientation gender identity pregnancy veteran status or any other characteristic protected by applicable law. Click here to learn more.


Required Experience:

Manager

Employment Type

Full-Time

About Company

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