Mental Health Case Manager I

Mental Health Case Manager I Raleigh, NC Job Details Temporary | Full-time 19 hours ago Qualifications Master's degree in social work Master of Counseling Appeals Mental health and behavioral care Utilization review Insurance claim appeals processing Master's degree in psychology Patient advocacy No experience needed Master's degree Case management Utilization management Task prioritization Counseling Psychology Substance abuse Conflict management Medical insurance appeals management Discharge planning Client advocacy in social work Marriage & Family Therapy Patient interaction Social Work Referral coordination Documentation review Master's degree in counseling Health education and counseling Entry level Community resource coordination

Full Job Description Overview:

Supports patients and families in managing mental health and substance use concerns, assisting with discharge planning, resource navigation, and community engagement. Serves as a resource and placement specialist, ensuring timely referrals, warm handoffs, and effective communication. Provide education, advocacy, and support to enhance patient self-management and recovery. Facilitates inpatient and outpatient connections, monitors placements, conducts safety assessments, arranges transportation, and addresses social determinants of health. Acting as a liaison between patients, families, providers, and community resources. Proactively works to prevent delays in care and disposition. Reviews patient admissions and continued stays for appropriateness, monitors insurance benefits, and ensures care aligns with coverage to optimize payment. Assists with insurance appeals and utilization reviews. Supports clinical staff with coverage guidance and medical record reviews. Participates in the involuntary commitment process, including case tracking and representing the hospital in hearings. Must be able to work independently, prioritize tasks, and manage time efficiently. Demonstrates a flexibility in accepting diverse work assignments, managing stress related to change, and resolving conflicts effectively. •

TEMPORARY POSITION 5/1/26

until 8/30/26. •

Department Description:

Serving the community since 1961, WakeMed Health & Hospitals is the leading provider of health services in Wake County. With a mission to improve the health and well-being of our community, we are committed to providing outstanding and compassionate care. For more information, visit www.wakemed.org.

EOE Licensure:

Not Applicable Education:

Master's Degree Counseling Or Marriage and Family Therapy Or Psychology Or Social Work Required Experience:

No Experience Required