Behavioral Health Case Manager - IBHS

Duties and Responsibilities

Remote Work Capable

Essential Functions:

• Checks for payor eligibility/ enrollment.
• Contacts parent/county agencies involved/school/other professionals.
• Completes necessary tracking forms/documentation.
• Forwards information to secretary for scheduling.
• Completes and compiles necessary information to generate funding packet for each patient receiving services.
• Tracks/monitors funding expirations.
• Tracks/monitors funding authorizations.
• Problem-solves/seeks resolution surrounding billing issues with assistance of WellSpan biller and case manager coordinator.
• Contacts individuals and/or family as necessary regarding eligibility status.
• Assigns patients authorized for services to individual staff within the program.
• Tracks admission status/change in authorized hours/discharges to efficiently assign patients and inform staff of changes.
• Compiles caseload information to distribute to staff.
• Checks eligibility status of each patient bi-weekly noting changes in coverage.
• Completes documentation check bi-weekly.
• Maintains accurate status report including patient name, hours authorized, expiration date of authorization, and waiting list.
• Adheres/enforces policies and procedures and/or charges to existing program and ensures proper implementation.
• Assists in development of policies and procedures.

Common Expectations:

• Promotes WellSpan services in the hospital and community.
• Attends program meetings as expected.
• Assists in additional tasks as assigned by the Program Manager.
• Provides other services as assigned.