Conduct face-to-face assessments for Michelle P Waiver (MPW) recipients to evaluate their physical, mental, and social support needs. Assist individuals with paperwork, service provider information, and the appeal process for level-of-care denials.
Provide crisis, suicide, and homicide intervention counseling over the telephone to callers in emergency situations. Maintain accurate records of interventions and assist in supervising volunteers or staff as assigned.
Provides crisis and suicide intervention counseling over the telephone while identifying appropriate community resources for callers. Supervises telephone counselors and volunteers while maintaining accurate documentation of all interventions.
Provides crisis, suicide, and homicide intervention counseling over the telephone to callers in need of emergency assistance. Maintains accurate records of interventions and may supervise volunteers or provide training on crisis prevention.
Provides crisis, suicide, and homicide intervention counseling over the telephone to callers in need of emergency assistance. Maintains accurate records of interventions and may supervise volunteers or provide training to other counselors.
The UM Specialist verifies client benefits and manages the authorization lifecycle for mental health and substance abuse services. They also collaborate with operations staff to resolve billing issues and ensure accurate documentation for retro reviews and appeals.
Responsible for completing and monitoring insurance forms and claims for Medicare, Medicaid, and commercial providers to ensure timely payment. Manages unpaid claims, identifies overpayments, and communicates with providers and insurance companies to resolve reimbursement issues.