This job was posted by https://www.azjobconnection.gov : For more information, please see: https://www.azjobconnection.gov/jobs/6898013

This is a Direct Care Provider position that will transition into an administrative position involving Care Coordinator and Utilization Review duties.

Essential Duties:

Direct Care Provider:

• Provide assessments of members in crisis and assist in setting/reaching attainable goals.
• Pre-vocational training
• Documentation and case management
• Crisis intervention
• Individual and counseling services to seriously mentally ill members
• Responsible for contributing to and creating a recovery-based environment.
• Work with significant others and integrate them in the treatment plan where appropriate
• Supervise and monitor members while on site.
• Check vital signs as needed.

Administrative Duties:

• Reviews documents received and requests required documents to appropriate level of care for members.
• Evaluates eligibility information regarding services and benefit package.
• Maintain contact with utilization manager and out of home placement in order to ensure continued stay documentation, documentation of contact and coordination occurs as required and to ensure medical necessary services are received by members. Obtains prior authorizations from T/RBHAs when necessary.
• Assists consumers, families or guardians in securing appointments with support services and agencies, as needed for KOU.

{=html} <!-- --> - Assists with arranging for transportation for consumers for community services and/or medical appointments as needed for KOU - Maintains accurate, thorough and current documentation of contact with consumers, treatment progress and services received/provided. - Close coordination with the PCP health plan, stakeholders, and funding source will be maintained for all consumers. - To ensure compliance & adequate services, additional job duties may be required to meet the needs of the program and or department.

{=html} <!-- --> - Notify OP in INPT admission. - Apply for AHCCCS when needed.

{=html} <!-- --> - Completes Certificate of Need (CON), and Re-Certification of Need (RON) documents. - Scan RONS and CONS into charts - Verify AHCCCS eligibility and Scan AHCCCS eligibility into charts. - Obtain authorizations from T/RBHAs and insurance when necessary - Update UR log - Follow up with internal and external agencies to address issues related to eligibility and enrollment. - Daily tracking of all authorizations, with use of Excel spreadsheet, to ensure correct authorization numbers and dates of service. - Daily communications with fund sources to secure authorization for inpatient services. Trouble shoots and resolves barriers with securing authorization for inpatient services. - Track funding sources daily and work closely with CFS for accuracy in Axiom. - Chart avadavat as necessary.