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The Recovery Village

Behavioral health treatment network

Integrated Case Manager

Case Management & AdvocacyPosted on Nov 11
Full-timeWrightsville, PA, USANo salary listed

About the Job

Requirements

  • Two years of clinical experience in the medical and/or behavioral healthcare field.
  • A high school diploma is the minimum education requirement.

Responsibilities

  • Meet with assigned patients within established organizational timeframes, complete the required initial contact, and take ownership of the complete integrated case management workflow throughout the treatment episode.
  • Complete required 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 the CMDP at least weekly or sooner when patient needs change.
  • Educate patients and responsible parties regarding insurance benefits, patient financial responsibility, billing expectations, and available payment options.
  • Review and validate insurance coverage and patient financial responsibility using approved systems, payer portals, Revenue Cycle resources, and direct payer communication when necessary.
  • Monitor coverage throughout treatment and address coverage changes, lapses, coordination-of-benefits issues, or 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 accurate and timely financial documentation in Avatar, including CEFE information, guarantor order, collections, payments, payment arrangements, financial counseling, and patient or responsible party communication.
  • Conduct ongoing discharge and aftercare planning; review the plan with the patient; coordinate direct warm handoffs; confirm follow-up appointments before discharge when applicable; obtain patient feedback; and document the final plan 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 the 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 and do not complete medical sections outside the scope of the position.
  • 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 necessary 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, or continuity-of-care barriers.
  • Meet established integrated performance expectations across 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 scope of the position.
  • Maintain competency in all Integrated Case Management responsibilities through required education, cross-training, and ongoing professional development.

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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