Weekend Case Manager: Discharge & Care Coordination

aah; Wauwatosa (WI); On-site; USD 45,000 - 69,000; Part time

Job summary

Advocate Health's Aurora Behavioral Health Services in Wisconsin seeks a part-time Case Manager (18 hrs/week) for the Aurora Psychiatric Hospital. The role focuses on discharge planning coordination with families, physicians, and the treatment team to ensure timely plans and appropriate utilization reviews.

Responsibilities include obtaining pre-authorizations, reviewing clinical data, and negotiating care options with payors.

Qualifications

• Leadership abilities and independent work style.
• Excellent oral and written communication and problem-solving skills.
• Working knowledge of reimbursement methods and referral sources.
• Knowledge of Wisconsin Mental Health and Developmental Disabilities Code and related regulations.

Responsibilities

• Coordinates discharge planning using specialty services; ensures timely completion and informs families.
• Explains estimated benefits and assists patients with financial options.
• Obtains pre-authorization and conducts ongoing reviews with payor sources; maintains records.
• Initiates denial/appeal processes for non-certified care and completes required paperwork.

Skills

Leadership

Communication

Reimbursement knowledge

Regulatory knowledge

Education

Bachelor's Degree in Nursing

Master's Degree in Social Work

Master's Degree in Psychology

Job description

Advocate Health's Aurora Behavioral Health Services in Wisconsin seeks a part-time Case Manager (18 hrs/week) for the Aurora Psychiatric Hospital. The role focuses on discharge planning coordination with families, physicians, and the treatment team to ensure timely plans and appropriate utilization reviews.

Responsibilities include obtaining pre-authorizations, reviewing clinical data, and negotiating care options with payors.