Description

About us

Hines is a nationwide, independent leader in personalized managed health care, focused on comprehensive services to ensure our patients have the best care. Hines & Associates, Inc.’s reputation as an industry leader is founded on over three decades of innovative and professional health care excellence.

What we offer

• Competitive salary and benefits, including medical, dental, vision, long-term care, short-term disability, long-term disability, and company paid life insurance.
• 401k plan with company match, fully vested after one year.
• No weekends, nights or holidays!
• Regular full-time schedule.
• Paid holidays and time off.
• Work-life balance.
• Hybrid setting upon completion of orientation and training.

Overview

We are growing and are looking for Behavioral Health nurses or masters level LMHC/LPC who are ready to leave hands on care and expand their careers! Come work in a supportive, safe, and friendly environment that provides opportunities for growth!

Our Case Manager role allows you to utilize your clinical experience to develop a plan for meeting health care needs of the patient, while continuing to professionally grow in health care knowledge and perspective. Be the patient advocate you desire to be!

Responsibilities

• Demonstrate knowledge and application of the nursing (or LMHC/LPC) process as it applies to case management.
• Identify problems while assessing the patient’s medical and psychosocial status, including environmental, financial and cultural influences.
• Collaborate with physician(s), provider(s), and patient/family and payers to facilitate quality, timely and efficient care across the healthcare continuum.
• Improve the health outcomes and quality of life with reduced complications and costs for persons with chronic health conditions.
• Promote patient self-management of chronic health conditions through individual assessment and education.
• Demonstrate ability to communicate effectively with insurers, physicians, patient/family, and other healthcare providers, including ability to negotiate with assertiveness.
• Communicate in a calm, professional, and effective manner.
• Provide good customer relations by promoting goodwill and understanding between claimant, payer, providers and professional staff at all times.

PM21

Requirements

• Hines and Associates ONLY hires licensed/certified medical professionals with an unrestricted license/certification in the state or in a state that has licensure reciprocation with the state of the office location the employee is working in.
• Must be an RN.
• Successful completion of case management orientation program.
• Minimum of 2 years in a full-time acute inpatient setting or specialty area (i.e., emergency department, inpatient BH (including float), or treatment program)
• Excellent communication skills
• Basic typing/computer knowledge with minimum keyboarding speed of 35WPM.
• Previous case management experience helpful but not required.
• Previous case management or insurance industry experience helpful but not required.

Hines welcomes diversity and, as an equal opportunity employer, all qualified applicants will be considered regardless of race, religion, color, national origin, sex, age, sexual orientation, gender identity, disability or protected veteran status.