Beh Hlth Resource Coord LCSW / Care Logistics Center

Hartford HealthCare Corp.; Newington (CT); On-site; USD 65,000 - 90,000; Full time

Job summary

Hartford HealthCare Corp. is seeking a BH Resource Coordinator to facilitate patient transitions to inpatient behavioral health beds. You will verify insurance information, secure precertifications, and navigate bed placement within and outside the network, ensuring timely access to appropriate care.

You will document details in Epic, collaborate with RN staff, and maintain strong relationships with providers. A CT LCSW and 5+ years in behavioral health are required for this role.

Qualifications

• Masters Degree in Social Work required.
• Current CT LCSW license required.
• Minimum 5+ years experience in behavioral health field.
• Ability to navigate managed care systems in obtaining BH insurance information.

Responsibilities

• Facilitate patient transitions to inpatient behavioral health beds with accurate insurance information and precertifications.
• Utilize knowledge of criteria for inpatient care and conduct bed searches within and outside the network.
• Document insurance details in Epic and manage authorizations.
• Coordinate with RN and negotiate necessary single case agreements.
• Maintain bed placement priorities and positive relationships with sending/receiving entities.

Skills

Interpersonal communication

Communication skills

Collaboration

Education

Master's in Social Work

Tools

Epic registrations

Auth cert.

Job description

Location Detail:129 Patricia M Genova (10004)

Shift Detail:9-hr days, 4 days/week, no weekends/holidays. Onsite1 yr, then hybrid possible based on performance anddemonstrated mastery of role

Work where every moment matters.
Every day, more than 40,000 Hartford HealthCare colleagues come to work with one thing in common: Pride in what we do, knowing every moment matters here. We invite you to become part of Connecticut's most comprehensive healthcare network.
The creation of the HHC System Support Office recognizes the work of a large and growing group of employees whose responsibilities are continually evolving so that we and our departments now work on behalf of the system as a whole, rather than a single member organization.

Summary:

The BH Resource Coordinator is responsible for facilitating patient transitions to inpatient behavioral health beds by verifying accurate insurance information ,securing insurance precertification(s) utilizing a strong understanding of criteria for inpatient care, and when necessary doing bed searches to other facilities both within and outside the network to promote timely access to appropriate level of care. This person utilizes strong interpersonal and communication skills to assist in bed management activities as needed, is highly knowledgeable of network entity capabilities and can navigate bed management for uncomplicated bed placement needs.

Responsibilities:

• Acts as a resource with expertise in managed care , stays updated in current practices and keeps colleagues informed of same.
• Acts as expert in Epic registrations, auth cert., etc and acts as resource for staff as needed.
• Ensures that criteria is met for inpatient level of care upon obtaining authorization
• Thoroughly documents insurance information in Epic, including all details of auth cert.
• Understands bed placement priorities as set by standard work
• Maintains positive collaborative relationships with sending and receiving entities and professionals
• Performs bed searches as directed, prioritizing in network facilities.
• Document patients placed outside network and reasons for same.
• Perform routine bed placement and registration when not busy with above activities
• Consults with RN before placing patient
• Negotiates single case agreements as necessary
• Maintains H3W leadership behaviors and is accountable for all interactions
• Models customer service standards and demonstrates value for all people in the work environment

Qualifications

Education:Masters Degree in Social Work required.

Licensure, Certification, Registration:Current CT LCSW license required.

Experience:Minimum 5+ years experience in behavioral health field. Understanding of levels of care criteria, diagnostic nuances, and inpatient milieu concerns strongly preferred. Ability to navigate managed care systems in obtaining accurate BH insurance information.
We take great care of careers.

With locations around the state, Hartford HealthCare offers exciting opportunities for career development and growth. Here, you are part of an organization on the cutting edge - helping to bring new technologies, breakthrough treatments and community education to countless men, women and children. We know that a thriving organization starts with thriving employees-- we provide a competitive benefits program designed to ensure work/life balance. Every moment matters. And this isyour moment.