4 psychiatric case manager jobs found

Archer Adolescent Unit Psychiatric Case Manager DESCRIPTION OF POSITION: The Psychiatric Case Manager supervises day to day functions of the department and staff. The manager actively seeks areas for department to improve (i.e - reduction in denials) &/ or be more efficient. RESPONSIBILITIES AND DUTIES: Prepares information for notification letters for providers and employees. Performs utilization review in accordance with all state mandated regulations. Maintains compliance with regulation changes affecting utilization management. Performs continuing review on medical records and identification and need of on-going hospitalization. Reviews patients' records and evaluates patient progress. Obtains and reviews necessary medical reports and subsequent treatment plan requests to conduct review. Reviews and validates physician's orders, reports progress and unusual occurrences on patients. Receives & processes requests for appeal of denials. Attends required meetings regarding...

Archer Adult Unit Psychiatric Case Manager DESCRIPTION OF POSITION: The Psychiatric Case Manager supervises day to day functions of the department and staff. The manager actively seeks areas for department to improve (i.e - reduction in denials) &/ or be more efficient. RESPONSIBILITIES AND DUTIES: Prepares information for notification letters for providers and employees. Performs utilization review in accordance with all state mandated regulations. Maintains compliance with regulation changes affecting utilization management. Performs continuing review on medical records and identification and need of on-going hospitalization. Reviews patients' records and evaluates patient progress. Obtains and reviews necessary medical reports and subsequent treatment plan requests to conduct review. Reviews and validates physician's orders, reports progress and unusual occurrences on patients. Receives & processes requests for appeal of denials. Attends required meetings regarding...

Archer Administration Psychiatric Case Manager (Utilization Review) DESCRIPTION OF POSITION: The Psychiatric Case Manager supervises day to day functions of the department and staff. The manager actively seeks areas for department to improve (i.e - reduction in denials) &/ or be more efficient. RESPONSIBILITIES AND DUTIES: Prepares information for notification letters for providers and employees. Performs utilization review in accordance with all state mandated regulations. Maintains compliance with regulation changes affecting utilization management. Performs continuing review on medical records and identification and need of on-going hospitalization. Reviews patients' records and evaluates patient progress. Obtains and reviews necessary medical reports and subsequent treatment plan requests to conduct review. Reviews and validates physician's orders, reports progress and unusual occurrences on patients. Receives & processes requests for appeal of denials. Attends required...

THIS POSITION IS FOR INTERNAL CANDIDATES ONLY!! POSITION SUMMARY: Under the general supervision of the Chief Nursing Officer/VP the Lead RN Case Manager will manage the Case Management Department and clinical resource utilization and documentation effecting reimbursement. In this position the Lead RN Case Manager will provide identification of inefficiencies in resource utilization, and act as a resource to staff and physicians of San Gorgonio Memorial Hospital in documentation for effective reimbursement. The Lead RN Case Manager assists with controlling staffing levels to meet budgetary guidelines; trains, evaluates, disciplines, and discharges subordinate staff, in collaboration with department director.# Communicates with patients, family, medical team, caregivers, and third-party payors as necessary.# Formulates, implements, and evaluates educational strategies for staff, patients, and family.# Analyzes case management/care coordination outcomes to identify issues and make...