Case Manager

Kingwood Pines Hospital - Houston, TX

Full-time

Houston, TX

10,001+ employees

Securities, Commodity Contracts, and Other Financial Investments and Related Activities

About the position

The Case Manager at Kingwood Pines Hospital plays a crucial role in advocating for patients' access to services during treatment. This position involves participation in treatment team meetings, conducting reviews for managed care companies, and coordinating discharge plans with families and service providers. The Case Manager ensures that patients receive the necessary care and support throughout their treatment journey.

Responsibilities

• Advocate for patient access to services during treatment team meetings and through individual physician contact.
• Participate in treatment team meetings and continued stay reviews as indicated.
• Provide clinical information to managed care companies, insurance companies, and other third-party reviewers to establish the length of stay or number of certified days.
• Conduct reviews and other communications and documentation as required by payor standards to obtain necessary certification to maximize reimbursement.
• Serve as the liaison for both internal and external reviewers.
• Provide timely updates regarding patient status on log sheets prepared for daily meetings concerning admissions, reviews, and discharges.
• Coordinate discharge plans with family, guardians, and other appropriate service providers.

Requirements

• High School Diploma required.
• Minimum of one (1) year of case management/inpatient psychiatric experience or comparable experience.
• Demonstrated proficiency in psychiatric care required.
• CPR and HWC Crisis Intervention training must be completed prior to beginning work.

Benefits

• 401(k) matching
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance