Description

Job Schedule: Per Diem
Standard Hours: 1
Job Shift: Shift 1
Shift Details: Including weekends

Work where every moment matters. 

Every day, over 30,000 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 is your moment.

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