Manager

• The Behavioral Health Case Manager for Transitions of Care is dedicated to proactive engagement with members admitted to Acute Inpatient Psychiatric facilities.
• This role involves coordinating care to address immediate behavioral health needs and overcoming barriers to discharge from inpatient care.
• The goal is to reduce readmissions and adverse events through patient education, support, and connection to outpatient services.
• This hybrid position involves telephonic outreach and weekly visits to local Acute Inpatient Psychiatric facilities in the Murfreesboro area.
• The caseload is fluid, adapting to changes in facility admissions and referrals.
• Please note this role will require in person visits with members.
• In order to be considered, candidates must be willing to travel and will ideally be within 25 miles of Murfreesboro, Tennessee.
• Job Responsibilities: Supporting utilization management functions for more complex and non-routine cases as needed. Serving as a liaison between members, providers and internal/external customers in coordination of health care delivery and benefits programs. Overseeing highly complex cases identified through various mechanisms to ensure effective implementation of interventions, and to ensure efficient utilization of benefits. Performing the essential activities of case management: assessment: planning, implementation, coordinating, monitoring, outcomes and evaluation. Perform case management activities in community settings including face to face with members as required. Various immunizations and/or associated medical tests may be required for this position. Testing/Assessments will be required for Digital positions

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