BH Case Manager: Weekend Program

American Addiction Centers • Milwaukee, WI

3d • $33 - $50 • Onsite

About The Position

This is a part-time position within the 11200 Aurora Psychiatric Hospital - Case Management department. The role is specifically for the weekend program, requiring availability every Friday, Saturday, and Sunday from 0730 to 1600. While the start time is flexible, the individual must be available to be reached via pager until 1700 if needed. The position adheres to a weekend program policy that allows for one weekend off per quarter. The pay range for this role is $33.05 - $49.60.

Requirements

• Registered Nurse license issued by the state in which the team member practices, or Social Worker license issued by the state of Wisconsin, or Professional Counselor license issued by the state of Wisconsin
• Basic Life Support (BLS) for Healthcare Providers certification issued by the American Heart Association (AHA).
• Bachelor's Degree in Nursing, or Master's Degree in Social Work, or Master's Degree in Psychology, Counseling.
• Typically requires 3 years of experience in behavioral health services that includes experiences in assessments, discharge planning and utilization review in a managed care environment.
• Demonstrated leadership skills and ability to work independently.
• Must have excellent oral, written communication and problem solving skills.
• Demonstrated working knowledge of reimbursement methods and referral sources.
• Demonstrated working knowledge of the State of Wisconsin Mental Health and Developmental Disabilities Code.
• Knowledge of state and federal mental health and chemical dependency regulations.

Responsibilities

• Coordinates discharge planning, utilizing specialty services as needed.
• Monitors and ensures the discharge plans are completed in a timely manner.
• Facilitates calls to specialists as ordered (i.e. primary care physician, therapists).
• Works with families providing information and education services as needed.
• Reviews clinical/insurance information and completes data gathering if necessary.
• Explains estimated benefit information to patient and assist the patient in exploring financial options as needed.
• Obtains pre-authorization from managed care company.
• Performs ongoing concurrent reviews with payor source, maintaining written records of contacts.
• Investigates and negotiates different care options with the payor source/insurance company.
• Keeps the physician, treatment team, patient, family and financial counselor aware of review status.
• Initiates the denial/appeal process for non-certified care, following through with all required paperwork and communications.
• Assists with the development and maintenance of standards for case management across the Aurora Behavioral Health Services system.
• Facilitates communications between and negotiates with the patient/family, physicians, nurses, dietary, rehab, homecare, social services, and other disciplines that need to collaborate to provide care for the patient.
• Collaborates and coordinates efforts with treatment team members to complete the discharge plan in a timely manner.
• Attends and participates in treatment teams and unit meetings and may be assigned to lead and coordinate meetings as needed.
• Must be able to demonstrate knowledge and skills necessary to provide care appropriate to the age of the patients served.
• Must demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patient's status and interpret the appropriate information needed to identify each patient's requirements relative to his/her age-specific needs, and to provide the care needed as described in the department's policies and procedures.
• Age-specific information is developed further in the departmental job standards.

Benefits

• Premium pay such as shift, on call, and more based on a teammate's job
• Incentive pay for select positions
• Opportunity for annual increases based on performance
• Paid Time Off programs
• Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
• Flexible Spending Accounts for eligible health care and dependent care expenses
• Family benefits such as adoption assistance and paid parental leave
• Defined contribution retirement plans with employer match and other financial wellness programs
• Educational Assistance Program

What This Job Offers

• Job Type: Part-time
• Career Level: Mid Level