Job Description

Summary

Facilitates assigned members’ adult recovery teams in securing and managing behavioral health services that aid in the member’s recovery from mental illness and/or addiction disorders. 

 Essential Duties and Responsibilities

  1. Completes and /or monitors for completion; all documentation necessary to comply with CODAC and regulatory agency policies and procedures with regard to clients in residential placements
    1. Performs admission assessments to determine medical necessity of residential substance use treatment.
    2. Coordinates with insurance to establish prior authorizations as need for SUD BHRF.
    3. Coordinates with payors to assure completion of all documentation required for continued stay authorization reviews
    4. Assists in facilitating ART meetings for members served.
    5. Completes outreach to referral sources.
    6. In collaboration with Site Leadership and Executive Leadership works to build and maintain professional relationships with community referral sources.
    7. Works with Site Leadership to assess admission processes to assure any identified barriers to admission are addressed.
    8. Staffs all potential residential members with clinical supervisors.
    9. Performs relevant assessments and case consultations on members served, as needed.
    10. Acts as liaison between referral sources, member’s recovery team, and program.
    11. Assists in updating/maintaining member documentation in accordance with agency and funding source requirements.
    12. Provides support to staff and participates in daily activities to the completion of program objectives.
    13. Offers guidance and education related to members individual needs.
    14. Provides group services to members as scheduled and required by Las Amigas Program Coordinator/supervisors. Assures all group services provided are documented according to policy.
    15. Coordinates discharge planning for members stepping down to lower levels of care
    16. Coordinates communication between Las Amigas and Health Plan Claims Department.
  2. Functions as the Residential Liaison as needed; attends ARTs if appropriate
  3. Attends requested agency, regulatory agencies, and community meetings and communicates pertinent information to appropriate staff
  4. Prepares and submits timely and accurate reports and other documents related to program services and activities
  5. Represents the agency at meetings and professional or community functions
  6. Assists in preparation of reports for the purpose of monitoring assigned program activities and functions
  7. Coordinates services with other behavioral health agencies, service organizations, other community resources, and other departments within CODAC
  8. Performs other related activities in accordance with agency growth and change.

Skills / Requirements

Education:

  • Masters or Bachelor’s degree in a healthcare field and no related experience OR;
  • Masters or Bachelor’s degree in a non-healthcare related field and 1 year relevant related experience OR;
  • Associates’ degree in a healthcare field and 1 year related experience OR;
  • Associate’s degree in a non-healthcare field and 2 years related experience OR;
  • Certified Peer Support Specialist and 2 years related experience
  • High School diploma or General Education Equivalent (GED and 4 years related experience.
  • Is an Arizona Licensed Registered Nurse OR;
  • Is an Arizona Licensed Physician’s Assistant who is not working as a medical practitioner;
  • Experience: See Education

Certifications:

  • CPR
  • First Aid
  • 1st Aid, CPR and Fingerprint Clearance Card
  • Commission Certified Care Manager (CCCM), a plus.

Additional Requirements:

  • Valid Arizona Driver’s license, proof of current insurance and willingness to use personal vehicle.
  • Clean Motor Vehicle Record - no more than 2 moving violations or a license suspension in past 3 years.

Skills:

  • Bilingual a plus.
  • Extensive knowledge of Hospital System of Care
  • Extensive knowledge of residential services, residential service providers, and criteria for residential placements
  • Extensive knowledge of community resources.
  • Extensive knowledge of behavioral health challenges which include knowledge of the impacts of mental illness, domestic violence, and the dynamics of addictive behavior.
  • Familiarity with various ethnic and cultural groups.
  • Intermediate to advanced computer skills using MS Office products, Word, Excel, Access, etc., importing/exporting data to/from applications.
  • Ability to communicate effectively both orally and in writing

Application Instructions

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