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hr360
San Francisco, CA | Full Time
$83k-102k (estimate)
5 Days Ago
Remote Reauthorizations Manager
hr360 San Francisco, CA
$83k-102k (estimate)
Full Time 5 Days Ago
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hr360 is Hiring a Remote Remote Reauthorizations Manager

JOB SUMMARY 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 teamTracking authorization end dates and reauthorization request due dates for the teamChairing and creating the agenda for the weekly reauthorization team meeting and the weekly meetings between the reauthorization team and the residential program staffLeading communication and weekly meetings with the county authorization department to improve authorization approval ratesEnsuring minimal authorization gaps and coordinating with the billing departmentProviding 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 neededQUALIFICATIONS Education and Experience Required:California licensure as a Psychologist, LMFT, LCSW, or LPCC2 years post licensure and able to provide clinical supervisionExperience with Welligent/AVATAR and other EMR systemsExperience with Mental Health Medi-Cal proceduresFamiliar with Drug-medical organized delivery systemMinimum two years of experience in dual diagnosis substance abuse treatment in an inpatient or outpatient community mental health settingSupervision experience in mental health or psychiatric setting with varied populationsDemonstrated clinical paperwork and record keeping abilitiesFamiliarity 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 presentationsAbility to work as part of an interdisciplinary teamClinical experience in performing risk assessment and crisis intervention

Job Summary

JOB TYPE

Full Time

SALARY

$83k-102k (estimate)

POST DATE

05/10/2024

EXPIRATION DATE

07/08/2024

WEBSITE

hr360.org

SIZE

<25

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