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    case mgr - San Antonio, United States - Laurel Ridge Treatment Center

    Laurel Ridge Treatment Center
    Laurel Ridge Treatment Center San Antonio, United States

    4 days ago

    Default job background
    Full time
    Description

    Job Description

    Responsibilities

    Laurel Ridge Treatment Center is growing and hiring Licensed Vocational Nurses. Our -bed comprehensive Behavioral Healthcare Facility is located in beautiful San Antonio, Texas Our facility provides a nurturing, campus-style environment located on beautiful acres and features experiential options such as a swimming pool, gym, ropes course and more.

    POSITION PURPOSE : Provides ongoing and systematic utilization review, coordinates patient care to optimize outcomes; advocates for patient and facility; and promotes quality care and documentation.

    KEY RESPONSIBILITIES :

  • Admission and continued stay reviews to ensure that care meets the clinical needs of the clients and reduces financial risk to the facility.
  • Participates in measures to improve the delivery and utilization of care and to evaluate the effectiveness of these. Enters all authorizations into the MS4/Midas daily.
  • Expert in documentation, communication, teamwork, and customer service. Advocates for internal and external customers including the client, family, physician, Treatment Team and Managed Care Organization.
  • Works in partnership with the Physician through rounds and staffing to facilitate compassionate patient communication and advocacy, effective Treatment Team planning and timely discharge planning.
  • Provides a strategic link between the Managed Care Organization, Treatment Team goals and the financial aspects of care.
  • Qualifications

    QUALIFICATIONS :

    SKILLS, KNOWLEDGE AND ABILITIES: Good verbal and written skills. Ability to maintain confidentiality. Some knowledge of Joint Commission, CMS, Tricare standards. Computer skills and knowledge of basic case management/utilization review principles.

    EDUCATION: Bachelor's degree in a related field preferred or High School Diploma with 5 or more years of experience in mental health field and utilization review.

    LICENSURE/CERTIFICATION: LVN, RN, LPC or LMSW preferred.

    EXPERIENCE: At least two years' experience in mental health setting with previous experience in Case Management/Utilization Review and discharge scheduling (preferred)

    PHYSICAL REQUIREMENTS:

    Correctable vision and hearing.

    Must be capable of occasionally lifting pounds and carrying medical records.

    Must be able to write and record information, and accurately read medical records.

    Must be able to spend % to % of time standing or walking between units. % to % of the time is spent sitting at a desk.

    Telephone or public face-to-face contact is infrequent, but must be able to calmly handle frustrated or angry clients.


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