Case Coordinator

1 week ago


Quakertown, United States Pyramid Healthcare Inc Full time

**Pyramid Healthcare is dedicated to offering the highest quality of care to those we serve. A focus on client-focused care establishes our family of brands as respected leaders in addiction treatment, mental health recovery and eating disorder treatment modalities. Under a passionate leadership team, Pyramid Healthcare offers comprehensive behavioral healthcare defined by supportive environments that offer patients the strength they need to overcome life’s challenges. We offer behavioral healthcare services - psychiatry, addiction recovery, mental disorder treatment, etc. - that allow clients at all stages of recovery or rehabilitation to reclaim health and well-being.**

**Deliverables/Principal Results Expected**:

- Responsible for ensuring that clients with D&A problems have access to full continuum of care by identifying/assessing client needs and making the appropriate services available.
- Coordinates all appointments, aftercare plans, schedules and meetings.
- Reviewer will look for delays in the provision of supportive services and will utilize the Medicare/Medicaid DRG length-of-stay as a guide for average length of stay.
- Reviews will be performed throughout the patient’s stay to ensure ongoing medical necessity and that treatment is provided at the correct level of care.
- Helps collect quality data including, but not limited to, denial management, avoidable days, length of stay, outliers, admits and readmissions.
- Maintain positive relationships with referral sources and insurance companies.
- Maintain an organized system of reporting to counselors when PCPC’s are due and when review calls need to be made. Maintain daily ECR data base accurately.
- Maintain and ensure proper documentation is in chart.
- Investigate cases with insurances and referral sources to recuperate any lost days of funding.
- Obtains the necessary information and releases from client, family, referral sources and other appropriate sources.
- Make referrals to Mental Health and Drug and Alcohol facilities for continuing care.
- Sets up Halfway House interviews and placements.
- Provide direct care to adults with chemical dependency problems in the 3C program, to ensure safety and well-being of these clients.
- Participate in implementing client’s treatment: maintaining communications with clients, family members and counselors.
- Schedules Family therapy appointments, reviews and coordinates treatment planning process to ensure there is follow through with Treatment Team recommendations as they relate to goals and objectives.

**Education, Experience**:
High school diploma or equivalent required.

Minimum of 2 -3 years in Healthcare setting

Excellent interpersonal communication skills, knowledge of community and state-wide referral options.

**Job-related Behavioral Characteristics**:Demonstrates professionalism, leadership, confidentiality, strong social communication skills, time-management, organized. Must possess skills to communicate effectively and interact well with people of diverse backgrounds. Excellent oral and written communication and interpersonal skills. Ability to problem solve by gathering and analyzing information, working well in an individual/ group problem solving situation, and showing initiative in problem solving. Maintains professionalism and does not show favoritism. Maintains consistency with clients, staff, visitors, and the public. Ability to handle a crisis situation and react appropriately. Flexibility and adaptable. Ability to make decisions in an objective and ethical manner. Calm and decisive in crisis situations. Ability to sustain a team environment, drive continuous improvement projects, confidentiality, excellent problem-solving skills and excellent communicator within the team framework.

**Total Rewards**:

- Medical, Dental, and Vision Insurance
- Flexible Spending Accounts
- Life Insurance
- Paid Time Off
- 401(k) with Company Match
- Tuition Reimbursement
- Employee Recognition Programs
- Referral Bonus opportunities
- And More

**Pyramid CORE Values**:
We are committed and proud to live our CORE values and use them to inspire those around us. Our employees are expected to align with these values, behaviors and standards. We are held accountable for upholding these CORE Values**:INTEGRITY** is striving to be honest, transparent and ethical when dealing with clients, staff and the community. **DEDICATION** is demonstrating an unwavering commitment to always provide exceptional care and support to those we serve is needed daily. **COLLABORATION** is a steadfast, team-focused approach; working together to achieve excellence. **PASSION **is genuine, compelling and relentless desire to improve lives and support Pyramid Healthcare’s mission.

**Want to know more?**

**_Pyramid Healthcare, Inc. is proud of its diverse workforce, and is an Equal Opportunity Employer._**

**Experience**: Preferred
- 2 - 3 years: Experience in healthcare setting

**Education**: Required
- Hig


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