Job Details

Receives/responds to incoming calls from referral sources/potential clients and exchanges information to identify the clients' needs and consults with Director of Clinical Management to determine the Company's ability to meet them. Completes all viable referrals by setting up and carrying out pre-screening assessments, completion of pre-screening reports, and preparation of case proposals and other related pre-admission paperwork (i.e., obtains authorization for payment, coordinates availability of an appropriate treatment team). Oversees, directs and supervises field staff assigned in assisting with pre-screening process. Accesses national/state/company account information, including the account names and terms of contracts or other past payer agreements, as appropriate. Consults with third party representatives regarding client benefit coverage, client financial responsibility, company service authorization and specific reimbursement procedures. Presents company's services, interpret...Case Manager, Manager, Healthcare, Management