We're looking for a passionate Full-Time Financial Case Manager to join our team!
Schedule: Monday - Friday, 8a-5pm (Not a Remote Position)
Pay Range: $23-$25/hr
About Our Organization
This position supports one of the trusted behavioral health programs within the Advanced Recovery Systems family. Advanced Recovery Systems is the parent organization of The Recovery Village, Promises Behavioral Health, The Right Step, and The Ranch, bringing together established treatment brands with a shared commitment to expanding access to high-quality, evidence-based addiction and mental health care.
While you may work primarily with a specific facility or brand, you will be part of a larger, growing organization focused on improving patient outcomes, supporting our employees, and strengthening the communities we serve.
The Integrated Case Manager (ICM) provides comprehensive, patient-centered services throughout the patient's treatment episode by integrating financial counseling, insurance and patient financial responsibility, discharge planning, aftercare coordination, employment and leave-related support, resource coordination, and continuity of-care activities into one accountable role.
Each Integrated Case Manager is accountable for the complete integrated case management workflow for assigned patients. Responsibilities are not separated into financial and traditional case management assignments; each ICM is expected to identify, address, document, and follow through on the patient's financial, discharge, aftercare, employment, legal, and other case management needs within the scope of the position.
Core Job Duties:
Meet with assigned patients within established organizational timeframes, complete the required initial contact, and take ownership of the complete integrated case management workflow throughout the treatment episode.
Complete required case management and discharge-needs assessments; identify financial, insurance, discharge, aftercare, employment, legal, and other barriers; develop an individualized Case Management Discharge Plan (CMDP); and review and update the CMDP at least weekly or sooner when patient needs change.
Educate patients and responsible parties regarding insurance benefits, patient financial responsibility, billing expectations, and available payment options.
Review and validate insurance coverage and patient financial responsibility using approved systems, payer portals, Revenue Cycle resources, and direct payer communication when necessary.
Monitor coverage throughout treatment and address coverage changes, lapses, coordination-of-benefits issues, or financial barriers that may affect treatment or continuity of care.
Collect applicable private-pay fees, copays, deductibles, and other patient responsibility and establish approved payment arrangements in accordance with organizational policy.
Maintain accurate and timely financial documentation in Avatar, including CEFE information, guarantor order, collections, payments, payment arrangements, financial counseling, and patient or responsible party communication.
Conduct ongoing discharge and aftercare planning; review the plan with the patient; coordinate direct warm handoffs; confirm follow-up appointments before discharge when applicable; obtain patient feedback; and document the final plan in Avatar. Services may include behavioral health, substance use disorder, medical, psychiatric, MAT, outpatient, and other providers as appropriate.
Collaborate with Business Development, referents, payors, outpatient services, and community providers and document required communication in approved systems, including Avatar and Salesforce, as applicable.
Coordinate the administrative components of FMLA, short-term disability, state-paid leave, and return-to-work requests, including intake, tracking, patient communication, completion of non-medical sections, and timely routing. Coordinate medical certification and clinical documentation with the Patient Services…