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
- 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
- Performs admission assessments to determine medical necessity of residential substance use treatment.
- Coordinates with insurance to establish prior authorizations as need for SUD BHRF.
- Coordinates with payors to assure completion of all documentation required for continued stay authorization reviews
- Assists in facilitating ART meetings for members served.
- Completes outreach to referral sources.
- In collaboration with Site Leadership and Executive Leadership works to build and maintain professional relationships with community referral sources.
- Works with Site Leadership to assess admission processes to assure any identified barriers to admission are addressed.
- Staffs all potential residential members with clinical supervisors.
- Performs relevant assessments and case consultations on members served, as needed.
- Acts as liaison between referral sources, member’s recovery team, and program.
- Assists in updating/maintaining member documentation in accordance with agency and funding source requirements.
- Provides support to staff and participates in daily activities to the completion of program objectives.
- Offers guidance and education related to members individual needs.
- 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.
- Coordinates discharge planning for members stepping down to lower levels of care
- Coordinates communication between Las Amigas and Health Plan Claims Department.
- Functions as the Residential Liaison as needed; attends ARTs if appropriate
- Attends requested agency, regulatory agencies, and community meetings and communicates pertinent information to appropriate staff
- Prepares and submits timely and accurate reports and other documents related to program services and activities
- Represents the agency at meetings and professional or community functions
- Assists in preparation of reports for the purpose of monitoring assigned program activities and functions
- Coordinates services with other behavioral health agencies, service organizations, other community resources, and other departments within CODAC
- Performs other related activities in accordance with agency growth and change.
Skills / Requirements
- 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
- First Aid
- 1st Aid, CPR and Fingerprint Clearance Card
- Commission Certified Care Manager (CCCM), a plus.
- 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.
- 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