Integrated Case Manager

The Recovery Village • Ridgefield, WA

3d • Onsite

About The Position

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

This position is based at the organization's Ridgefield, Washington facility and supports a behavioral health program within Advanced Recovery Systems. The organization provides evidence-based addiction and mental health care through its network of treatment facilities and brands.

Requirements

• Minimum high school diploma.
• Two years of clinical experience in the medical and/or behavioral healthcare field.

Nice To Haves

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

Responsibilities

• Meet assigned patients within established organizational timeframes, complete required initial contact, and manage the integrated case management workflow throughout the treatment episode.
• 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, 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 coverage during treatment and address coverage 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 in accordance with organizational policy.
• Maintain timely, accurate financial documentation in Avatar, including CEFE information, guarantor order, collections, payments, payment arrangements, financial counseling, and patient or responsible-party 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 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, including Avatar and Salesforce as applicable.
• Coordinate administrative components 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; 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, and continuity-of-care barriers.
• Meet integrated performance expectations for initial contact, weekly CMDP follow-up, financial counseling and collections, leave-related requests, appointment coordination, warm handoffs, aftercare completion, and timely documentation; proactively address outstanding patient needs.
• Escalate significant financial, coverage, discharge, documentation, patient-care, or workflow barriers to appropriate leadership when they are outside the role's scope.
• Maintain competency through required education, cross-training, and ongoing professional development.
• Develop proficiency in Heather AI and other approved documentation systems, ensuring accurate and timely electronic medical record entries.
• Support patient de-escalation using approved techniques and maintain professional boundaries.
• Communicate significant patient developments, risks, barriers, and operational concerns to the appropriate supervisor or treatment team member promptly.
• Attend required treatment team, case management, operational, and individual check-in meetings; 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 telemedicine through MDLive.
• Company contribution to a matching HSA 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