PI Auditor - Manteno

Family Guidance Centers, Inc. (FGC), a not-for-profit behavioral healthcare organization, treats and prevents substance use disorder, as well as an array of other related problems. Since 1969, FGC’s comprehensive programming has educated and guided individuals toward their full potential as productive members within their own families and our society. Family Guidance Centers, Inc seeks to support the behavioral health of individuals, families, and communities through our commitment to innovation, accountability, and compassionate care to facilitate positive, lasting change.

Essential Duties and Responsibilities:

· Performs the authorization process of all patients with MCO coverage at Family Guidance Centers, Inc. Springfield Residential Program and assists with the Manteno Residential Program as needed.

· Ensures that MCO information is provided to Clinical and Management Team and provides assistance with utilization of required information and documentation from the Access to Care Team and clinical team.

· In conjunction with IAC Program Manager, ensures the required training is conducted with IAC team members for adequate information to be presented to MCOs for initial authorization.

· In conjunction with the IAC Program Manager, is responsible for monitoring the census to ensure that all residential patients have been submitted in a timely manner.

· Ensures all MCO authorizations are documented and processed per policy and procedure.

· Ensures MCO authorizations and verifications and any acceptance/denial documentation is submitted and placed in patient file.

· Coordinates with Clinical Tam to ensure proper documentation has been submitted and placed in patient file for MCO concurrent reviews to ensure ongoing MCO coverage.

· Ensures adequate orientation for employees regarding proper documentation that is used in the process of obtaining MCO coverage.

Schedule: Monday - Friday (9:00a - 5:30p)

Start Date: ASAP

Work Location: 333 W. Evergreen St., Manteno, IL

 Pay Rate: $17.55 - $19.27

Family Guidance Centers, Inc. is a Drug Free Environment (including THC and/or CBD).

DCFS clearance required.

Family Guidance Centers, Inc. is committed to Equal Employment Opportunity without regard for race, ethnicity , pregnancy, gender, protected veterans status, disability, sexual orientation, gender identity or religion.

Education and Experience: Minimum Associate degree or some completed college courses or 2 years of related field experience preferred. Knowledge of ASAM clinical guidelines and applicable regulatory standards is essential.

Family Guidance Centers Inc. offers opportunities for individuals with an interest in behavioral health. Our organization provides a comprehensive benefit package for full time employment that includes:

• Health Insurance
• Dental 
• Vision
• Life Insurance,
• EAP 
• 401k pension plan
• Vacation, sick and personal days with paid holidays off are included in our paid time off compensation package