Master's Level Care Manager

Job description

Master's Level Care Manager | Creekside Behavioral Health | Kingsport, Tennessee About the Job: PURPOSE STATEMENT: The Care Manager is responsible for reviewing of assigned admissions, continued stays, utilization practices and discharge coordination and planning according to approved clinically valid criteria and meeting the daily deadlines to obtain authorizations and complete other pertinent processes. Roles and Responsibilities: ESSENTIAL FUNCTIONS: - Analyzes client records to determine appropriateness of admission, treatment, and length of stay to comply with government and insurance company reimbursement policies. Ensures charting deficiencies are minimized and correctly timely by responsible personnel. - Analyzes insurance, governmental and accrediting agency regulatory standards/requirements to determine criteria concerning admissions, treatment, and length of stay of clients. - Reviews application for client admission and approves admission or refers case to utilization review committee for review and course of action when case fails to meet admission standards. - Appeals all denials ensuring accuracy of information and effective coordination of correspondence. - Compares...