14 Remote Reauthorizations Manager Jobs in San Francisco, CA
Health Right 360 is Hiring a Remote Remote Reauthorizations Manager
Benefits and perks:
- HR360 offers a robust benefits package, including PTO, 15 paid holidays, commuter benefits, retirement plans, and more!
- Employees qualify for public loan forgiveness programs
- Training and professional development opportunities
- Work with mission driven, compassionate colleagues and make a difference every day in the work that you do.
The Remote Reauthorizations Manager functions as the liaison between Intake services and other internal agency components as well as outside entities.
This is a fully remote position.
Primary responsibilities include:
- Contributing to the creation/changes of the clinical workflow for authorizations team
- Tracking authorization end dates and reauthorization request due dates for the team
- Chairing and creating the agenda for the weekly reauthorization team meeting and the weekly meetings between the reauthorization team and the residential program staff
- Leading communication and weekly meetings with the county authorization department to improve authorization approval rates
- Ensuring minimal authorization gaps and coordinating with the billing department
- Providing administrative and clinical supervision and oversite of LPHA authorizations staff Coordinating care with residential programs’ leadership and treatment teams as well as the medical team, including psychiatry and MAT services as needed.
- Ensures that clients meet criteria for admission and continued treatment at our various programs and ensures medical necessity is justified.
- Conducts client assessments to determine continued need for care and documents findings of assessment to be submitted for re-authorization based on continued medical necessity.
- Will review assessments conducted by clinical staff, provide feedback, consult on denials and resubmissions, and sign off as LPHA when needed
Education and Experience
Required:
- California licensure as a Psychologist, LMFT, LCSW, or LPCC
- 2 years post licensure and able to provide clinical supervision
- Experience with Welligent/AVATAR and other EMR systems
- Experience with Mental Health Medi-Cal procedures
- Familiar with Drug-medical organized delivery system
- Minimum two years of experience in dual diagnosis substance abuse treatment in an inpatient or outpatient community mental health setting
- Supervision experience in mental health or psychiatric setting with varied populations
- Demonstrated clinical paperwork and record keeping abilities
- Familiarity with trauma informed therapy models, cognitive–behavioral therapy, brief psychotherapy, ASAM assessment, and psycho-educational approaches.
- Familiarity with working with psychotic and other severe mental health presentations
- Ability to work as part of an interdisciplinary team
- Clinical experience in performing risk assessment and crisis intervention
We will consider for employment qualified applicants with arrest and conviction records.
Job Summary
Full Time
$83k-102k (estimate)
05/10/2024
07/09/2024
healthright360.org
SAN FRANCISCO, CA
200 - 500
1966
CARLINA HANSON
$50M - $200M
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About Health Right 360
Our Mission HealthRIGHT 360 gives hope, builds health, and changes lives for people in need. We do this by providing compassionate, integrated care that includes primary medical, mental health, substance use disorder treatment and re-entry services. History To address the thousands of adolescents and young adults that were streaming into San Francisco for the cultural revolution of the 1960s, Haight Ashbury Free Clinics (HAFC) opened its doors in 1967 as the first free medical clinic in the country. During the first week of operation over 400 patients were seen. HAFC has been an innovator in d...elivering primary health care services to many of the people who can least afford them. Health Care is a Right, Not a Privilege has been the guiding principle as well as its famous tagline. Walden House was founded in 1969 in the same Haight-Ashbury district of San Francisco to help homeless and runaway adolescents with substance use disorder problems. Today, Walden House treats people with mental health and substance use disorder problems at various residential and outpatient centers throughout California, including in-prison treatment programs, and facilities in San Francisco and Los Angeles, providing drug and alcohol treatment and mental health, vocational and housing services for people transitioning back into their communities. Like HAFC, Walden House has always served people who are uninsured, homeless and socio-economically disenfranchised, including those with HIV/AIDS. Haight Ashbury Free Clinics and Walden House have both grown over the years, becoming national models for community healthcare, substance use disorder treatment and mental health services. The organizations merged on July 1, 2011 to best serve the most vulnerable members of our community. On July 1, 2012, Haight Ashbury Free Clinics Walden House adopted a new name: HealthRIGHT 360. A Growing Family of Programs Asian American Recovery Services (AARS) joined the family of HealthRIGHT 360 programs in 2013. Founded in 1985, AARS has grown to serve thousands of people throughout San Francisco, San Mateo, and Santa Clara counties. In 2014, North County Serenity House of San Diego county and Womens Recovery Association (WRA) of San Mateo joined HealthRIGHT 360, continuing its leadership as a provider of gender responsive services for women and women with children. In 2015 Lyon-Martin Health Services became the third primary care clinic operated by HealthRIGHT 360, continuing its specialized care for women and transgender individuals. Tenderloin Health Services (formerly Glide Health Services clinic) became the fourth primary care clinic in 2015, providing care in San Franciscos Tenderloin neighborhood. Prototypes joined in 2016 expanding behavioral health care for women and children and services to survivors of domestic violence in Los Angeles, Orange and Ventura Counties. Strengthening services for women and girls in San Francisco, Womens Community Clinic joined our family of programs in 2017. Womens Community Clinic traces its roots to the Womens Need Center, a program of Haight Ashbury Free Clinics that closed in 1999 and reopened four months later with its new name.
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