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Admissions Manager

Valley Cities Behavioral Health Care
Seattle, USA
Full-time
Mid Level
Onsite
Discovered 1 months ago

Full Job Posting

  • Oversee and ensure appropriate authorizations for services are obtained.
  • Function as a liaison between payers, billing, and the treatment team, providing information and feedback to assist in optimum client care and reimbursement.
  • Build and maintain census for the Intensive Inpatient (IIP) floor; work in coordination with the Withdrawal Management staff to maintain Withdrawal Management census.
  • Develop and implement a referral development plan to enhance the number Withdrawal Management and IIP admissions.
  • Work to build and maintain positive relationships in the behavioral health community and strengthen relationships with care authorizers.
  • Educate referring clinicians and providers about the referral process at Recovery Place Seattle, as well as the authorization process.
  • Verify insurance prior to admit; assist potential clients in applying for Medicaid or troubleshooting any barriers to coverage prior to and during treatment
  • Coordinate and track pre-authorizations for clients interested in setting a bed date for treatment.
  • Conduct clinical screenings with clients prior to admission to determine appropriateness for the program.
  • Audit documentation submitted for authorization.
  • Schedule potential clients with coordinating withdrawal management stay prior to admission to IIP.
  • Manage assessment assignments, working closely with the withdrawal management assessor to get appropriate clients authorized while in withdrawal management prior to transition into IIP.
  • Identify withdrawal management clients expressing interest in treatment and coordinate with discharge planner to conduct screening.
  • Schedule and staff physical intakes with Intake Specialist and RS's on-schedule for the day.
  • Collaborate with discharge planners and counselors on AMA mitigation strategies for clients committed to converting from WM to IIP.
  • Consult with leadership regarding admissions of complex clients.
  • Meet with clinical leadership to discuss upcoming admits, discharges, and AMA's.
  • Provide availability to screen at alternative times, i.e., evenings and weekends, by appointment.
  • Perform utilization management tasks to include, but not limited to, complete BHO discharges for all clients at discharge; audit withdrawal management extension requests as needed; audit extension requests for IIP; verify and track clients' authorizations during treatment stay; assist in month-end tasks as directed; write the monthly report; audit AMA's to better determine AMA risk.
  • Continue to work with leadership on ways to improve the intake and tracking process to better understand what is needed to keep a consistent census at Recovery Place Seattle.
  • Additional duties as assigned
  • BA/BS in Behavioral Sciences field or equivalent experience.
  • Substance Use Disorder Professional (SUDP) or Substance Use Disorder Professional Trainee (SUDPT), preferred.
  • Obtain Agency Affiliated Counselor registration within first thirty days of hire.
  • Familiarity with ASAM diagnostic criteria for Substance Use Disorders
  • Knowledge of withdrawal symptoms
  • Ability to maintain good customer service in fast paced environment.
  • Ability to maintain strong professional boundaries.
  • Understanding of Trauma-Informed Care principles and service provision
  • Good communication skills, teamwork, and attitude
  • Multicultural awareness
  • Ability to adapt, flexibility.
  • Pass required background checks.
  • Must have a valid Washington State driver's license and reliable transportation with current insurance.

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