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The Recovery Village

Behavioral health treatment network

Integrated Case Manager

Case Management & AdvocacyConfirmed live in the last 24 hours
Full-timeGroveport, OH, USA$23 - $25 /hrIn-person

About the Job

Requirements

  • A minimum high school diploma is required.
  • Two years of clinical experience in the medical and/or behavioral healthcare field is required.
  • Maintain confidentiality and comply with HIPAA, state, federal, accreditation, and organizational requirements.

Responsibilities

  • Meet assigned patients within established organizational timeframes, complete initial contact, and own 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 patient 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 as needed.
  • Monitor coverage throughout treatment and address coverage 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 organizational policy.
  • Maintain accurate, timely financial documentation in Avatar, including CEFE information, guarantor order, collections, payments, payment arrangements, financial counseling, and patient or responsible-party communication.
  • 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. Services may include 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, and document required communication 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, completion of 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 patient-ready.
  • Participate in treatment team meetings and communicate relevant financial, discharge, aftercare, and patient-barrier information needed to support treatment planning and continuity of care.
  • Coordinate with fellow Integrated Case Managers regarding treatment-team attendance, patient intakes, workload distribution, coverage needs, daily huddles, and handoff processes to support efficient workflow and prevent missed responsibilities.
  • 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 patient 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 resolution falls outside the role's scope.
  • Maintain competency in Integrated Case Management responsibilities through required education, cross-training, and ongoing professional development.
  • Develop and maintain proficiency in Heather AI and other approved documentation systems, ensuring accurate and timely entry into the electronic medical record.
  • Support patient de-escalation using approved techniques and maintain appropriate professional boundaries.
  • Communicate significant patient developments, risks, barriers, and operational concerns to the appropriate supervisor or treatment-team member in a timely manner.
  • 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.
  • Perform other duties assigned to support patient care and organizational operations.

Desired Qualifications

  • A bachelor's degree in a health-related field is preferred.

About the Company

The Recovery Village

Behavioral health treatment network

The Recovery Village works as a behavioral-health treatment network for substance-use and mental-health conditions. Its facilities and programs provide medical, clinical, residential, outpatient, and continuing-care services according to patient need. Its operating model is specific: multidisciplinary teams work with patients and families across treatment settings while centralized services support access and operations. Roles include nursing, therapy, medicine, behavioral health, admissions, facilities, and administration. The scope follows The Recovery Village network and does not promise a particular clinical result.

Company size
51-200
Company stage
Not listed
Total funding
Not listed
Headquarters
Umatilla, OR
Founded
2013

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