Integrated Case Manager

The Recovery Village • Ridgefield, WA

3d • $23 - $25

About The Position

The Integrated Case Manager (ICM) provides comprehensive, patient-centered services throughout each patient’s treatment episode. The role combines financial counseling, insurance and patient financial responsibility, discharge planning, aftercare coordination, employment and leave-related support, resource coordination, and continuity-of-care activities. Each ICM is accountable for the complete integrated case management workflow for assigned patients, including identifying, addressing, documenting, and following through on patient needs within the scope of the position.

The ICM works with patients, responsible parties, treatment teams, payors, referents, outpatient services, community providers, and internal departments to address barriers and support continuity of care. The position includes coordinating insurance and payment matters; developing and maintaining individualized discharge plans; arranging referrals, appointments, and warm handoffs; and coordinating administrative elements of leave and return-to-work requests. The role also requires timely and accurate documentation, confidentiality, participation in meetings, and ongoing training. This is a full-time position at the Ridgefield, Washington facility, with a stated pay range of $23–$25 per hour.

Requirements

• Minimum high school diploma.
• Two years of clinical experience in the medical and/or behavioral healthcare field.
• Maintain strict confidentiality and comply with HIPAA, state, federal, accreditation, and organizational requirements.
• Develop and maintain proficiency in Heather AI and other approved documentation systems.
• Use approved patient de-escalation techniques and maintain appropriate professional boundaries.

Nice To Haves

• Bachelor’s degree in a health-related field preferred.

Responsibilities

• Meet assigned patients within established organizational timeframes, complete initial contact, and manage the integrated case management workflow throughout treatment.
• Complete case management and discharge-needs assessments; identify financial, insurance, discharge, aftercare, employment, legal, and other barriers; develop an individualized Case Management Discharge Plan (CMDP); and review and update it at least weekly or when needs change.
• Educate patients and responsible parties about insurance benefits, patient financial responsibility, billing expectations, and payment options.
• Review and validate insurance coverage and patient financial responsibility using approved systems, payer portals, Revenue Cycle resources, and direct payer communication when needed.
• Monitor insurance coverage during treatment and address changes, lapses, coordination-of-benefits issues, and financial barriers affecting treatment or continuity of care.
• Collect applicable private-pay fees, copays, deductibles, and other patient responsibility, and establish approved payment arrangements in accordance with policy.
• Maintain accurate, timely financial documentation in Avatar, including CEFE information, guarantor order, collections, payments, payment arrangements, counseling, and communications.
• Conduct discharge and aftercare planning; review plans with patients; coordinate warm handoffs; confirm follow-up appointments before discharge when applicable; obtain patient feedback; and document final plans in Avatar.
• Coordinate services and follow-up with behavioral health, substance use disorder, medical, psychiatric, MAT, outpatient, and other providers as appropriate.
• Collaborate with Business Development, referents, payors, outpatient services, and community providers, documenting required communications in approved systems such as Avatar and Salesforce.
• Coordinate administrative components of FMLA, short-term disability, state-paid leave, and return-to-work requests, including intake, tracking, communication, non-medical sections, and timely routing. Coordinate medical certification and clinical documentation with the Patient Services Coordinator and appropriate provider; do not complete medical sections outside the role’s scope.
• Ensure aftercare plans, CMDP documentation, discharge folders, referrals, appointments, required letters, and patient resources are complete, accurate, and ready for patients.
• Participate in treatment team meetings and communicate relevant financial, discharge, aftercare, and patient-barrier information to support treatment planning and continuity of care.
• Coordinate with other Integrated Case Managers on treatment-team attendance, intakes, workload distribution, coverage, daily huddles, and handoffs.
• Collaborate with Revenue Cycle Management, Admissions, Utilization Review, Clinical Leadership, and other departments to resolve financial, insurance, discharge, or continuity-of-care barriers.
• Meet integrated performance expectations for initial contact, CMDP follow-up, financial counseling and collections, leave-related requests, appointment coordination, warm handoffs, aftercare completion, and timely documentation; proactively address outstanding needs.
• Escalate significant financial, coverage, discharge, documentation, patient-care, or workflow barriers when resolution falls outside the role’s scope.
• Maintain competency through required education, cross-training, and ongoing professional development.
• Develop and maintain proficiency in Heather AI and other approved documentation systems, entering information accurately and promptly into the electronic medical record.
• Support patient de-escalation using approved techniques and maintain professional boundaries.
• Communicate significant patient developments, risks, barriers, and operational concerns promptly to the appropriate supervisor or treatment team member.
• Attend required treatment team, case management, operational, and individual check-in meetings.
• Accept and incorporate supervisory feedback and adapt to changing workflow, patient, and site needs.
• Track and support quality and performance expectations established by leadership.
• Maintain confidentiality and comply with HIPAA, state, federal, accreditation, and organizational requirements.
• Perform other duties assigned to support patient care and organizational operations.

Benefits

• Up to two weeks of paid time off per year, plus sick pay and holiday pay.
• 401(k) with company match.
• Health, vision, dental, life, and MDLive telemedicine insurance.
• Company matching HSA contribution of up to $1,500 per year.
• Employee referral bonus of up to $4,000.
• Travel Concierge, LifeMart employee discounts, Health Advocate, and EAP program.
• Discounted meal benefits.
• Benefits begin on the first day of the month following the date of hire.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED