RN Job
Case Manager, BHU
The Behavioral Health case manager is responsible for case management across the continuum of care utilizing an interdisciplinary approach to managing patient throughput in a fiscally responsible manner to achieve optimal outcomes. Also responsible for the coordination of care, utilization review, acting as a resource to patients, family and/or significant others and staff; referrals to clinical social worker for psycho-social issues and complicated discharge planning issues; overseeing coordination of post-hospital care needs; interacting with insurance companies, medical groups, and community resources to ensure timely, efficient use of all services. Applies knowledge of the expected clinical process, available resources, medical necessity criteria, regulatory requirements, and relevant standards of care in anticipating patient needs.
Qualifications
- Licensure and Certification: Current ASW, AMFT license Current BLS provider card
- Education: Masters degree SW or MFTDiploma RN or BSN degree
- Experience: Two years as a Case Manager in an acute care setting or five years recent acute care nursing experience.Strong interpersonal skills, leadership, negotiation skills, good leadership talent, and knowledge of hospital operations. General knowledge of the payer industry, resource management, reimbursement, and evidence-based clinical practice is essential.
About the Hospital
Be a part of the team at Henry Mayo Newhall Hospital, the healthcare leader in the Santa Clarita Valley.