Lead Case Manager Two - Full time

Houston Behavioral Healthcare Hospital (HBHH) is unique in so many ways. Our facility is located in a serene, picturesque setting within the Spring Branch District of West Houston. We have highly qualified caring staff ready to provide exceptional service.

The team at Houston Behavioral Healthcare Hospital strives to be the leaders in Behavioral Health by delivering quality services to those entrusted in our care. By embarking on a path with our community and ensure Compassion, Acceptance, Respect, Empowerment, and Sincerity with each step we take together.

Houston Behavioral Healthcare Hospital (HBHH) currently has an opening for a Full-Time Lead Case Manager, Monday through Friday (8am-4:30pm).

The Lead Case Manager will report to the Director of Utilization Review and will be responsible to provide quality case management services to all patients and their families, to serve as a member of interdisciplinary team supporting the organization's treatment program and philosophy, and assure the deliverance of quality treatment to patients and their families.

Duties:

• Develops and coordinates an individualized discharge plan for the patient by utilizing treatment team and written chart information to determine the patient's aftercare needs.
• Coordinates with physician individualized discharge planning for patients.
  
• Conducts reviews and other communications and documentation as required by payor standards to obtain necessary certification to maximize reimbursement, and are the liaison for both internal and external reviewers. Helps to complete aftercare appointments that are within seven (7) days of discharge.
  
• Documents services provided to patients or on behalf of patients in medical record and AIS.
  
• Assists with chart audits and completion of medical records.
  
• Writing denial letters and tracking denials.
  
• Working the Information Request Worklist.
  
• Performs related duties, as requested.
  

Knowledge, Skills and Abilities:

• Basic understanding of human anatomy, specifically musculoskeletal
• Proficient use of CPT and ICD-10 codes
• Excellent computer skills including Excel, Word, and Internet use
• Excellent organizational skills
• Plans and prioritizes to meet deadlines
• Excellent customer service skills; communicates clearly and effectively.
• Ability to multitask and remain focused while managing a high-volume, time-sensitive workload

Job Types: Full-time and PRN

Schedule: Fulltime

• Monday -Friday
• 8am-4:30pm

Requirements

Bachelors Degree in social work, Psychology or related field, preferred.

3 years experience in a medical related field and/or experience preferred.

Experience in a Psychiatric setting.

Knowledge of healthcare service delivery systems, and third party reimbursement.

Knowledgeable of Managed Care Environment.

Benefits

Medical

Dental/Vision

STD/LTD

Paid Time Off

401-K Plan