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Social Worker-UM - Mental Health Services. Job in Newport Care Jobs

Newport, Indiana
Job Type
Full Time
31 Aug 2022
Sign on bonus
  • 1 or more years of experience - $2,500
  • Less than 1 year of experience - $1,000

To provide consultant capacity within the multidisciplinary care team, facilitating psychosocial screening, collaborating with care teams to manage patients psychosocial and behavioral health issues. Utilize Milliman/Interqual/Midas to assist with establishing clinical criteria for admission, treatment, and discharge.
  • Utilize Milliman (Interqual) criteria to assist with establishing clinical criteria for admission, to monitor clinical progression, to evaluate criteria for continued stay, and to establish an anticipated discharge date
  • Contact insurance companies and provides required information to obtain Medicaid or insurance authorization for admission, complete continued stay reviews, or obtain authorization for services
  • Records required information to track pertinent patient information, IE: MIDAS, Meditech, Epic, and appropriate referral software programs
  • Performs preauthorization related to admission needs
  • Assists with denial notifications and the appeal process
  • Works with hospital case management to assist with challenges related to discharge to assure the best outcome for patients
  • Initial authorizations for Addiction Recovery In Patients, Intensive Out Patients, Partial Hospitalization Patients, and Continuing Care Patients
  • Initial authorizations for Mental Health In Patients
  • Concurrent reviews
  • Discharge reviews
  • Functions as class facilitator as needed.
  • Proficiency with Word, Excel, and Power Point is an added benefit.
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  • Job Reference: 699103522-2
  • Date Posted: 31 August 2022
  • Employer: Carle
  • Location: Newport, Indiana
  • Salary: On Application
  • Sector: Mental Health, Social Worker
  • Job Type: Full Time