Integrated Case Manager

The Recovery Village • Groveport, OH

7h • $23 - $25 • Onsite

About The Position

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

The role works with patients, responsible parties, clinical and operational teams, payors, referents, outpatient services, and community providers. It includes reviewing insurance coverage and financial responsibility, coordinating payment arrangements, developing and updating individualized discharge plans, arranging aftercare and warm handoffs, and coordinating administrative aspects of leave and return-to-work requests. The ICM also maintains timely documentation, supports patient de-escalation using approved techniques, communicates significant barriers, and follows confidentiality and compliance requirements.

This is a full-time, onsite position at the organization's Columbus facility, scheduled Monday through Friday, 8:00 a.m. to 4:30 p.m. The posted pay range is $23–$25 per hour; the posting also states a starting salary of $23 per hour, based on experience.

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.

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; create an individualized Case Management Discharge Plan (CMDP); and review and update it at least weekly or as needs change.
• Educate patients and responsible parties about insurance benefits, 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 as needed.
• Monitor insurance coverage during treatment and address changes, lapses, coordination-of-benefits issues, and financial barriers that may affect treatment or continuity of care.
• Collect applicable private-pay fees, copays, deductibles, and other patient responsibility, and establish approved payment arrangements according to organizational policy.
• Maintain accurate, timely financial documentation in Avatar, including CEFE information, guarantor order, collections, payments, payment arrangements, financial counseling, and communications with patients or responsible parties.
• Conduct ongoing 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 behavioral health, substance use disorder, medical, psychiatric, MAT, outpatient, and other provider services 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 aspects of FMLA, short-term disability, state-paid leave, and return-to-work requests, including intake, tracking, patient communication, non-medical sections, and timely routing; coordinate medical certification and clinical documentation with the Patient Services Coordinator and appropriate provider.
• 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 share 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, patient 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, and continuity-of-care barriers.
• Meet established performance expectations for patient 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 to appropriate leadership when they are outside the position'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 in 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

• Benefits begin on the first day of the month following the date of hire.
• Up to two weeks of paid time off per year, plus sick pay and holiday pay.
• 401(k) with company match.
• Health, vision, dental, and life insurance, plus MDLive telemedicine.
• 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.

What This Job Offers

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