case mgr - San Antonio, United States - Universal Health Services

Description

Laurel Ridge Treatment Center is growing and hiring Licensed Vocational Nurses. Our 330 -bed comprehensive Behavioral Healthcare Facility is located in beautiful San Antonio, Texas Our facility provides a nurturing, campus-style environment located on 29 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:

1. Admission and continued stay reviews to ensure that care meets the clinical needs of the clients and reduces financial risk to the facility.
2. 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.
3. 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.
4. 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.
5. Provides a strategic link between the Managed Care Organization, Treatment Team goals and the financial aspects of care.

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 25 pounds and carrying medical records.

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

Must be able to spend 30% to 40% of time standing or walking between units. 60% to 70% 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.

EEO Statement

All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.

We believe that diversity and inclusion among our teammates is critical to our success.

Notice

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