Care Manager (Utilization Manager)

Job Description

Responsibilities

Laurel Ridge Treatment Center is hiring a Care Manager. 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.

We are looking for a compassionate, dynamic, and talent Care Manager that will focus on developing and maintaining a therapeutic relationship throughout the healthcare continuum. The Care Manager role is vital to the quality of care given to our patients. The Care Manager is part of the care team and will provide ongoing and systematic utilizaton review. The Care Manager advocates for patients and their family members, promotes high quality care, and detailed documentation.

KEY RESPONSIBILITIES :

1. Provide 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

The person selected for this position will have excellent verbal and written communication skills. The ability to maintain confideniality and patient privacy rights. 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 but not required.

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

Benefits :

Free meals

Employee Recharge Massage Zone

Challenging and rewarding work environment

Competitive Compensation & Generous Paid Time Off

Excellent Medical, Dental, Vision, and Prescription Drug Plans

(K) with company match and discounted stock plan

Career development opportunities