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SalaryPyramid Healthcare at Hillside is committed to offering comprehensive and robust treatment options to adults struggling with Substance Use Disorders. A focus on client-centered care establishes our facility as a respected leader in addiction treatment in Pennsylvania. Under a passionate leadership team and committed support staff we assist our clients in reclaiming freedom. We are currently seeking Case Manager Supervisor to collaborate with our amazing team of behavioral healthcare professionals and guide our clients in their recovery journey. If after reading the job posting you feel you are qualified and interested in this role, we invite you to apply for this amazing opportunity.
- Train, coach and supervise Case Managers and case coordinators. Responsible for discipline, reviews and payroll duties.
- Responsible for ensuring that clients have access to full continuum of care by identifying/assessing client needs and making the appropriate services available.
- Coordinates all appointments, aftercare plans, schedules and meetings.
- Gathers information to complete pre-certifications.
- Performs continued stay and discharge reviews on all managed care clients.
- Reviews throughout the patient’s stay to ensure ongoing medical necessity and that treatment is provided at the correct level of care.
- Helps collect quality data including, but not limited to, denial management, avoidable days, length of stay, outliers, admits and readmissions.
- Maintain and ensure proper documentation is in chart.
- Investigate cases with insurances and referral sources to recuperate any lost days of funding.
- Make referrals to Mental Health and Drug and Alcohol facilities for continuing care.
- Sets up Halfway House interviews and placements.
- Participate in implementing clients' treatment plans.
- Other duties as assigned.
Technical Competencies:
Coordinates all aspects of treatment from financial coverage to aftercare. Overall understanding of the D&A and Mental Health field including level of care, primary funding streams, county funding structure, referral bases, managed care/private insurance knowledge. Knowledge of local, state and federal regulations. Knowledge of appeal and denial process. Knowledge of PCPC and of Release of Information and Confidentiality.
Education, Experience:
Associate degree or equivalent required, Bachelor degree preferred. Minimum of 2 -3 years in Healthcare setting, excellent interpersonal communication skills, knowledge of community and state wide referral options. Supervisory experience preferred.
Total Rewards:
- Medical, Dental, and Vision Insurance
- Flexible Spending Accounts
- Life Insurance
- Paid Time Off
- 401(k) with Company Match
- Tuition Reimbursement
- Employee Recognition Programs
- Referral Bonus opportunities
- And More!
Pyramid CORE Values:
We are committed and proud to live our CORE values and use them to inspire those around us. Our employees are expected to align with these values, behaviors and standards. We are held accountable for upholding these CORE Values: INTEGRITY is striving to be honest, transparent and ethical when dealing with clients, staff and the community. DEDICATION is demonstrating an unwavering commitment to always provide exceptional care and support to those we serve is needed daily. COLLABORATION is a steadfast, team-focused approach; working together to achieve excellence. PASSION is genuine, compelling and relentless desire to improve lives and support Pyramid Healthcare’s mission.
Want to know more?
To learn more about Pyramid Healthcare, and how you can achieve personal and professional growth, visit us at: https://bit.ly/Pyramid-Careers.
Pyramid Healthcare, Inc. is proud of its diverse workforce, and is an Equal Opportunity Employer.
