Case Manager coordinating patient care and collaborating with health teams in a behavioral health setting. Advocate Health provides care across various states including mental health support and rehabilitation services.
Responsibilities
Coordinates the patient’s care throughout their stay
Collaborates with the health care team in evaluating the appropriate use of resources
Ensures progress towards departmental improvement goals relative to length of stay (LOS) and cost per case
Participates in Care Conferences as requested
Engages in utilization management activities appropriate to the patient’s level of care
Obtains insurer’s approval for services by providing the insurer with pertinent medical information
Documents insurance information/authorization numbers in relative software applications
Establishes and maintains positive relationships with patients, physicians, allied professionals, and all peers
Requirements
Bachelor's degree in Business, Education, Counseling, Human Services or related field from an accredited institute
Minimum of two years’ experience in the care of assigned patient population
Working knowledge of community resources
Expert knowledge of ICD, CPT, and HCPCS coding guidelines
Expert knowledge of medical terminology, anatomy, and physiology
Expert ability to analyze trends and data and display them in a statistical reporting format
Expert knowledge of Microsoft Office, video and web conferencing, email, and experience with electronic coding and EHR systems or applications
Strong ethics
Experience with remote workforce operations required.
Benefits
Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
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