Acadia Healthcare Behavioral Health Case Manager in Lemont, Illinois
Demonstrates understanding of the medical criteria for the differing levels of care.
Initiates initial authorization with network providers.
Maintains knowledge of clinical information by review of documentation, participation in staffing, attending care conferences and collaborating with other members of the treatment team.
Performs concurrent review with network providers.
Monitors medical record documentation using knowledge of established guidelines to promote compliance and further ensure quality for retrospective review by external review entities.
Acts as liaison with physician and other treatment team members to:
Assures that all aspects of treatment are fully documented
Assists in identifying options for care
Assures a seamless flow of information between levels of care by collaborating with the admissions department, clinical and financial departments, residents’/families/guardian to provide a smooth transition
Assures coordination of resources with other community services and agencies.
Duties as assigned.
Master’s degree or equivalent in Human Services preferred.
Registered nurse with a current Illinois license.
Current and active Illinois clinical licensure or Illinois active endorsement to license ie: LCP, LCPC, LSW, LCSW.
At least two years of clinical experience in case management and/or utilization review preferred.
Demonstrated expertise considering patient age, gender, developmental level and cultural/religious issues.