Description
Job Schedule: Full Time
Standard Hours: 40
Job Shift: Shift 1
Shift Details: Monday - Friday, 8-4:30
Work where every moment matters.
Every day, over 30,000 Hartford HealthCare colleagues come to work with one thing in common: Pride in what we do, knowing every moment matters here. We invite you to become part of Connecticut's most comprehensive healthcare network.
Charlotte Hungerford Hospital is a 122-bed, general acute care community hospital located in Torrington, Connecticut, that serves as a regional health care resource for the 100,000 residents of Litchfield County and Northwest Connecticut. CHH offers personalized attention from an expert team of caregivers and physicians that utilize advanced technology and clinical partnerships in a convenient, safe and comfortable patient environment.
Job Summary
Coordinates the care of clients in collaboration with clinical program staff. Liaison with insurance companies and other referral sources. Obtains level-of-care authorizations from managed care companies when clinically necessary. Requires in-depth knowledge of behavioral health services in order to accurately articulate and advocate for patient's care requirements and effectively obtain authorizations. Ensures that authorizations are current and documented as required.
Job Responsibilities
- Obtains level-of-care authorizations from managed care companies when clinically necessary. Requires in-depth knowledge of behavioral health services in order to accurately articulate and advocate for patient's care requirements and effectively obtain authorizations.
- Accurately inputs information into Medical Record System to ensure authorizations are complete. Error or omissions here may result in loss of payment.
- Collaborates with the payor source and the primary clinician/treatment team and refers clients to appropriate level of care, based on symptomatology and benefit structure.
- Ensures client admission, continued stay, and discharge meet the criteria of the program.
- Communicates with referral sources to determine benefits and pre-certify admissions.
- Maintains records and prepares statistical reports as assigned. Enters data into business software and other business systems as required.
- Assists with process of appeals as directed by the Manager - Utilization Review.
- Performs other duties as assigned.
Qualifications
- Bachelor's degree with 5 years' experience in behavioral health setting
- Master's degree preferred with 3 years' experience in a behavioral health setting
- Documented assessment skills of the biopsychosocial needs of behavioral health clients
- LPC, LADC, LMFT, LCSW or RN license required
- Computer proficiency and keyboard skills required
- Ability to read and understand oral and written instructions and effectively communicate information
As a Hartford HealthCare entity, Charlotte Hungerford Hospital provides eligible employees with an extensive benefits package consisting of:
- Medical and dental benefits
- 401(k) plan with employer match
- Generous paid time off with accrual starting on the date of hire, including six paid holidays
- Additional voluntary benefits as well as employee discount programs
- Stress free commute; free parking and no shuttles
- Staff kitchen
- Individual offices for full-time clinicians
With locations around the state, Hartford HealthCare offers exciting opportunities for career development and growth. Here, you are part of an organization on the cutting edge - helping to bring new technologies, breakthrough treatments and community education to countless men, women and children. We know that a thriving organization starts with thriving employees- we provide a competitive benefits program designed to ensure work/life balance. Every moment matters. And this is your moment.
