As a Care Advocate you will make a difference in the lives of our patients. Care advocates collaborate with the treatment teams in ensuring quality care and advocate the need for treatment with insurance companies to secure authorization for treatment. You will represent Rogers and be the voice of the patient to ensure they are able to access needed treatment.

Care Advocates:

• Coordinate and Track Patient Care.
• Review active medical records to ensure medical necessity documentation requirements are met.
• Act as the liaison between RBH and third-party payers in advocating for authorization.
• Support process improvement initiatives within the UR department.
• Collaborate with other departments within Rogers to ensure quality care for the patient.

Job Requirements:

• Bachelor’s Degree is required; Behavioral Science is preferred.
• Previous work experience, office or hospital setting preferred.
• Knowledge of managed care, Medicaid and Medicare.
• Utilization review experience in a hospital, outpatient or managed care setting preferred.
• Knowledge of the DSM, ICD-10, medical, mental health and chemical dependency diagnosis and treatment.
• Must pass pre-employment background and drug screen.

Schedule:

• Able to be flexible with work assignments, including schedule changes, case load size, program additions and changes in policy and procedures.
• Monday through Friday, business hours.
• Weekend and Holiday hours may be required.

Location:

• Position is remote.
• The candidate must live in one the following states: WI, CA, GA, FL, MN, IL, CO, PA, TN, or WA

Benefits:

• Comprehensive benefits package (medical, dental, vision, etc.) for positions of 30 hours or more per week.
• Childcare reimbursement offered for positions of 20 hours or more per week.
• Gainshare bonus based on company goals.
• 401k with matching contribution that is fully vested from day 1.
• Loan relief, tuition reimbursement and scholarship opportunities.

ABOUT ROGERS BEHAVIORAL HEALTH

Rogers Behavioral Health is a nationally recognized, not-for-profit provider of highly specialized psychiatric care. Rogers offers evidence-based treatment for children, teens, and adults with OCD and anxiety, addiction, depression and other mood disorders, eating disorders, trauma, and PTSD. Backed by more than a century of experience, Rogers is leading the way on measurement-based care and use of clinical outcomes. Rogers provides residential care and has three inpatient facilities located in southeastern Wisconsin. Rogers also offers outpatient services in a growing network of communities across the U.S.

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The System also includes Rogers Behavioral Health Foundation , which supports patient care, programs, and research; and Rogers InHealth , an initiative that works to eliminate the stigma of mental health challenges.

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For more information, visit rogersbh.org .

EOE/MFDV

Required Skills

Required Experience