Job Description

As an employee with Southwest Behavioral & Health Services (SBH), each individual is responsible to strive towards becoming the recognized leader in providing behavioral health services to communities, families, and individuals in the Southwest. At SBH we value our customers, as they are the reason we exist. We value our employees, as they are the heart of our organization. We value the quality of services provided, as it is the foundation of our organization. And, we value the effective management of resources, as it is the strength of our organization. By doing this, SBH will become the pre-eminent customer driven, quality based provider in the Southwest.

CRISIS RECOVERY SERVICES (CRS) The principles and practice of recovery are emphasized, so individuals are able to bring new meaning and an enhanced quality of life into their daily experience. Together, integration and recovery offer consumers greater opportunities to lead satisfying and productive lives. Together we work to collaborate and coordinate transition individuals back into the community.

Schedule:  Wednesday – Saturday from 6 am – 4 pm. With Saturday being able to work from home (after on the job training is completed)

Summary:

Performs crisis stabilization functions.  Completes necessary paperwork at the time of admission, during stabilization and at discharge.  Serves as primary staff responsible for utilization review/ quality assurance activities. Performs chart audits, utilization review activities, discharge coordination as needed. These functions include clinical care coordination between resources within and outside the agency, monitoring the programs’ compliance with inpatient rules and regulations.

Duties & Responsibilities:

  • Completes Certificate of Need (CON), and Re-Certification of Need (RON) documents.
  • Daily contact with RBHA to secure authorizations and/or Letters of Authorization (LOA) for consumers stays documentation of contact in authorization log and follows up when necessary with the T/RBHA.
  • Obtains authorizations from T/RBHAs and insurance plans when necessary.
  • Works collaboratively with Behavioral Health Medical Practitioners, Psychologists, Registered Nurses, CRU Care Coordinators, UM/QM Director, and Behavioral Health Technicians.
  • Follow up with internal and external agencies to address issues related to eligibility and enrollment.
  • Follow up with BHMPs, Care Coordinators, and nurses to ensure clear documentation of medical necessity in charts.
  • Daily tracking of all authorizations, with use of Excel spreadsheet, to ensure correct authorization numbers and dates of service.
  • Daily communications with fund sources to secure authorization for inpatient services. Trouble shoots and resolves barriers with securing authorization for inpatient services.
  • Initiates and oversees retro and reconsideration authorization processes to ensure authorizations for inpatient services are secured timely.
  • Collects referral information regarding those referred for CRU services.
  • Completes medical record reviews for division (re: inpatient, residential, and outpatient services).
  • Completes Discharge Ready and Crisis Report of Discharged Patient Reports.

 

Education & Qualifications:

  • Minimum requirement consists of a 21-year age
  • A Bachelor’s degree with two years of full-time behavioral health experience.  Utilization Review and/or case management experience with adults and/or special populations required. 
  • Valid AZ driver’s license & Motor Vehicle clearance.
  • An equivalent combination of education and experience directly related to behavioral health totaling six years is acceptable.

Application Instructions

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