Rosecrance Behavioral Health

Events

• Working in a school setting, presents designated evidence-based curriculum to students in kindergarten through twelfth grade.
• Designs and develops presentations on subjects related to substance abuse.
• Initiates and develops contact with various organizations and target groups and emphasizes working relationships between those groups and Rosecrance.
• Provides technical assistance and consultation services concerning alcohol and other drug related issues to schools, community groups, and others.
• Networks with local and state youth-serving organizations, including marketing to inform them of Prevention program offerings.
• Works with other Prevention staff to facilitate the development and implementation of new prevention programming and educational materials.
• Accurately completes required reports, documentation, and outcomes evaluation tools.
• Professionally represents Rosecrance and the Prevention program, presenting at assigned community functions such as health fairs and educational workshops for professionals, volunteers, and community groups.
• Stays abreast of local, state, and national Prevention programs, trends, research, and other relevant information.
• Attends assigned training sessions.

Prevention Specialist

Financial Planning and Analysis

• Manage and maintain the client business accounts and serve as a resource to clients and their families regarding treatment funding options.
• Handle all third party insurance processing for patients, including determination and verification of benefits, financial interview with clients or guardians, and follow-up of financial commitments, while checking for consistency of commitments.
• Conduct individual case benefit negotiations with the guidance of the supervisor.
• Provide information for staff relating to client financial information. Notify staff as to proper funding classification per current procedures.
• Conduct registration with all new/returning clients, including, but not limited to, concurrent documentation in EHR of demographic information, reviewing and ensuring completion of opening paperwork, and effective communication to clients and staff regarding admission- site specific.
• Conduct Medicaid/Medicare or other insurance coverage verification and confirm/update Financial Eligibility and Authorizations (as applicable) on all new clients and at least once/month on all open clients.
• Assist clients with the Medicaid Application process as needed and applicable.
• Coordinate payment activities consistent with patient/agency agreement. Receive client payments and maintain accurate payment handling and documentation according to current SOP.
• Maintain accurate funding documentation as related to daily census activity as applicable.
• Assist clients with the Patient Assistance application process and track the granting and application of Patient Assistance funds.
• Complete Medicaid/Managed Medicaid/Commercial Insurance authorization requests timely per SOP.
• Enter into EHR authorizations for all guarantors as applicable.
• Provide appropriate documentation and reports designed to assist in fiscal management of the agency.
• Understand and comply with all of the principles established by the Rosecrance Corporate Compliance Program and Code of Conduct.
• Perform all responsibilities in compliance with the mission, vision, values and expectations of Rosecrance.
• Deliver exceptional customer service consistently to every customer.
• Serve as a role model for other staff, clients and customers and demonstrate positive guest relations in representing Rosecrance.
• Assume other related responsibilities as assigned by management.

Financial Advisor

Manager

• Provides mental health rehabilitation services and supports children under 21 years old and their families to decrease hospitalization and crisis episodes and to increase community functioning in order for the client to achieve rehabilitative, resiliency and recovery goals.
• Provide continuity of program services in an ethical, legal and moral manner within a safe and therapeutic environment, consistent with applicable regulatory and accreditation standards.
• Participate as a team member in the delivery of mental health services to clients and their families and facilitate the issues of recovery into their daily living situations.
• Ability to motivate and problem solve with staff regarding effective clinical practices.
• Ability to be self-motivated, seek improved performance, problem solving while meeting the complex needs of the clients and their families.
• Adapt verbal and written communication to the language and style of the client and their family.
• Complete all necessary documentation within the appropriate time lines.
• Undertake primary case management responsibilities for designated clients.
• Provide crisis intervention services and medication monitoring as necessary.
• Conduct individual, group, and family sessions for clients and/or family members.
• Ensure that client service records are maintained consistent with regulations.
• Maintain communications with all staff (e.g. admissions, process, and discharge plans).
• Ability to coordinate services from a variety of community resources
• Utilize a variety of treatment concepts, evidence based practices and service modalities when providing care.
• Participate in on-call rotation as required.
• Present workshops, lectures and training to clients, families, staff and community groups as needed.

Case Manager – Mental Health Pathways

Counselor

• Help to coordinate Managed Care services
• Provide continuity of program services in an ethical, legal and moral manner within a safe and therapeutic environment
• Participate as a team member in the delivery of assessment/admission services to clients and their families
• Facilitate the issues of recovery into their daily living situations
• Provide managed care and utilization review support for inpatient and outpatient adolescent or adult services
• Provide financial case management support in conjunction with Patient Accounts Representative
• Maintain communication with Patient Accounts Representative and assist in communicating with families to insure 100% client funding
• Maintain accurate, up-to-date system of managed care contacts
• Participate in daily capacity management meetings and communicate funding changes
• Compile and submit reports on activities of Managed Care as directed
• Serve as a member of the Access Team and participate in all team meetings
• Understand and comply with all of the principles established by the Rosecrance Corporate Compliance Program and Code
• Deliver exceptional customer service consistently to every customer
• Serve as a role model for other staff, clients and customers

Prevention Specialist

Financial Advisor

Case Manager – Mental Health Pathways

Utilization Review Counselor – Behavioral Health