What are the responsibilities and job description for the Case Manager position at Pyramid Healthcare?
Onward Behavioral Health in Lancaster has an extensive history of providing high-quality outpatient treatment in southeastern Pennsylvania through its subsidiary programs: Rehab After Work, The Light Program, and Seeds of Hope. With comprehensive and individualized treatment plans, Onward Behavioral Health is an invaluable resource to adults and teens suffering from substance use, mental health, and/or eating disorders. We are currently seeking a Case Manager to support our clients at York. If after reading the job posting you feel you are qualified and interested in this role, we invite you to apply for this amazing opportunity.
Deliverables/Principal Results Expected:
• Responsible for ensuring that clients with D&A problems have access to full continuum of care by identifying/assessing client needs and making the appropriate services available.
• Introduce and explain the Level of Care Assessment process to clients.
• Responsible for entering client data into the WITS system
• Responsible for assisting clients with applying to Medical Assistance and completion of all funding documentation including determining all liability amounts and including them on financial sections of client charts.
• Responsible for a 7 day follow-up (check-in/update) with clients after discharge.
• Collect demographic information relevant to the LOCA.
• Explain and facilitate signatures for Releases of Information and other admission paperwork.
• Facilitate admission process by communicating with Licensed Counselor when client is ready for clinical portion of the LOCA
• Gathers information to complete pre-certifications.
• Reviewer will look for delays in the provision of supportive services and will utilize the Medicare/Medicaid DRG length-of-stay as a guide for average length of stay.
• Reviews will be performed throughout the patient’s stay to ensure ongoing medical necessity and that treatment is provided at the correct level of care.
• Helps collect quality data including, but not limited to, denial management, avoidable days, length of stay, outliers, admits and readmissions.
• Maintain positive relationships with referral sources and insurance companies.
• Maintain daily ECR data base accurately.
• Maintain and ensure proper documentation is in chart. Investigate cases with insurances and referral sources to recuperate any lost days of funding.
• Responsible for completion of Needs Assessment.
• Obtains the necessary information and releases from client, family, referral sources and other appropriate sources.
• Make referrals to Mental Health and Drug and Alcohol facilities for continuing care.
• Participate in implementing client’s treatment: maintaining communications with clients, family members and counselors.
• Participates in activities which enhance professional growth and development.
• Provide individual sessions and educational groups and workshops.
• Schedules Family therapy appointments, reviews and coordinates treatment planning process to ensure there is follow through with Treatment Team recommendations as they relate to goals and objectives.
• Participates in mandatory orientation and training activities.
• Compass applications
• Coordinate all aspects of treatment from financial coverage to aftercare.
• Other duties as assigned.
Education, Experience: Bachelor Degree required. Minimum of 2-3 years in a Healthcare setting. Excellent interpersonal communication skills and knowledge of community and state wide referral options.
Total Rewards:
- Medical, Dental, and Vision Insurance
- Flexible Spending Accounts
- Life Insurance
- Paid Time Off
- 401(k) with Company Match
- Tuition Reimbursement
- Employee Recognition Programs
- Referral Bonus opportunities
- And More!
Pyramid CORE Values:
We are committed and proud to live our CORE values and use them to inspire those around us. Our employees are expected to align with these values, behaviors and standards. We are held accountable for upholding these CORE Values: INTEGRITY is striving to be honest, transparent and ethical when dealing with clients, staff and the community. DEDICATION is demonstrating an unwavering commitment to always provide exceptional care and support to those we serve is needed daily. COLLABORATION is a steadfast, team-focused approach; working together to achieve excellence. PASSION is genuine, compelling and relentless desire to improve lives and support Pyramid Healthcare’s mission.
Want to know more?
To learn more about Pyramid Healthcare, and how you can achieve personal and professional growth, visit us at: https://bit.ly/Pyramid-Careers.
Pyramid Healthcare, Inc. is proud of its diverse workforce, and is an Equal Opportunity Employer.
