Behavioral Health Case Manager, Behavioral Health Patient Access

Overview:

You Matter Here!

 

Heywood Healthcare values our employees! We offer competitive wages, great benefits and generous earned time off. Come work where you will matter! 

 

Hours: 40-Hours, Days

 

$25.05 - $33.05

 

We are committed to equitable and transparent compensation practices. The salary range for this position reflects our good-faith estimate of base pay at the time of posting. Final compensation will be determined based on a variety of factors, including relevant experience, skills, qualifications, and internal equity. We regularly review our compensation structures to ensure fairness and consistency across our organization.   

 

Job Summary: 

The Behavioral Health Case Manager is responsible for coordinating care for patients who are evaluated in the Emergency Department. This includes referring the patient to psychiatric inpatient placements and/or community based services. The Behavioral Health Case Manager will also provide brief mental health support during discharge follow up calls. They will verify patients’ insurance & obtain prior authorizations for placements when necessary. The Behavioral Health Case Manager should have at least a basic understanding of the mental health & social services systems.

Responsibilities:

Essential Functions 

• Assists with providing mental health support during crisis evaluation (when needed) & during discharge follow up calls.
• Coordinates care for patients by getting them connected to local behavioral health resources and referring patients to the appropriate services.
• Coordinates bed searches for patients requiring admission to a psychiatric inpatient unit or a step-down placement (ie. CBAT/YCCS, CCS), for patients boarding in the Emergency Department or med-surg units.
• Completes insurance verifications for all patients and obtains prior authorizations when required.
• Assists clinicians with facilitating collateral contact with families, providers, and community support.
• Collaborates with the Emergency Department, inpatient staff and community partners to ensure continuity of care.
• Maintain timely and accurate EMR documentation throughout the referral and admission process while adhering to all patient privacy and confidentiality requirements.
• Promote a culture of teamwork, accountability, and patient-centered care.
• Other duties as assigned.

 

Statement of Other Duties 

 

This document describes the major duties and responsibilities for this job, and is not intended to be a complete list of all tasks and functions. It should be understood, therefore, that employees may be asked to perform job-related duties beyond those explicitly described.

 

Functional Demands

 

Exerts up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly to move objects. Frequently reaches (extending hands and arms in any direction), and handles (seizing, holding, grasping, turning, or working with hands).

Qualifications:

Job Requirements

 

Minimum Education

• Bachelor’s degree in a human services field preferred or equivalent lived experience navigating the behavioral health system for a loved one or themselves and who could serve as a Peer Support for patients when appropriate.

 

Minimum Work Experience

• At least 2 years of case management experience preferred.
• At least 2 years working in a behavioral health setting preferred.
• Familiarity with navigating Electronic Medical Records (EMR) system & Point Click Care platform preferred.

 

Required Skills

• Knowledgeable about the behavioral health system & local community resources.
• Comfortable with providing brief mental health support to patients over the phone.
• Ability to coordinate care for patients with behavioral health challenges.
• Knowledge of insurance verification processes & obtaining prior authorizations.
• Effective communication and interpersonal skills.
• Excellent organizational and problem-solving abilities.