Interim Reauthorization Manager - Intake Services

HealthRIGHT 360 gives hope, builds health, and changes lives for people in need by providing comprehensive, integrated, compassionate care that includes primary medical care, mental health services, and substance use disorder treatment.

Benefits and perks:
• HR360 offers a robust benefits package, including PTO, 15 paid holidays, commuter benefits, retirement plans, and more!
• Employees qualify for public loan forgiveness programs
• Training and professional development opportunities
• Work with mission driven, compassionate colleagues and make a difference every day in the work that you do.


This is an interim position.

HealthRIGHT 360, a nonprofit organization and a family of programs, is committed to providing accessible and comprehensive healthcare services to vulnerable populations. Our mission is to tackle systemic barriers to healthcare and promote health equity for all. We offer a wide range of services, including mental health care, residential and outpatient substance use treatment, and primary health services. Additionally, we provide transitional support for individuals re-entering the community after involvement in the criminal justice system. By integrating physical and behavioral health, we empower individuals to overcome challenges by addressing social determinants of health, fostering resilience, and facilitating recovery.

The Reauthorizations Manager (Interim) is the liaison between Intake services and other internal agency components as well as outside entities. Primary responsibilities include contributing to the creation/changes of the clinical workflow for authorizations team, tracking authorization end dates and reauthorization request due dates for the team, chairing and creating the agenda for the weekly reauthorization team meeting and weekly meetings between the reauthorization team and the residential program staff, leading communication and weekly meetings with the county authorization department to improve authorization approval rates, ensuring minimal authorization gaps and coordinating with the billing department, providing administrative and clinical supervision and oversite of LPHA authorizations staff, coordinating care with residential programs’ leadership and treatment teams as well as the medical team, including psychiatry and MAT services as needed. The Reauthorization Manager ensures that clients meet criteria for admission and continued treatment at our various programs and ensures medical necessity is justified. This position also Conducts client assessments to determine continued need for care and documents findings of assessment to be submitted for re-authorization based on continued medical necessity. Will review assessments conducted by clinical staff, provide feedback, consult on denials and resubmissions, and sign off as LPHA when needed. The Reauthorization Manager performs these duties in collaboration with internal and external program leadership and will ensure that clinical information is communicated as appropriate.

KEY RESPONSIBILITIES

Administrative/Coordinating Responsibilities:
• Provides liaison between the staff and other internal agency components and outside entities.
• Actively manages workloads and assignments to ensure productivity meets agency requirements.
• The expectation is that each reauthorization clinician completes 12-15 reauthorizations weekly in addition to resubmissions and may support as needed with 3.2 withdrawal management LOCs (Level of Care) and initial residential LOCs.
• Maintains the scheduling for reauthorization assessments on MH Calendar and tracks completion of assessments, outcomes, and timely resubmissions. Ensures coverage for team e.g. assists staff in coordinating time off, ensuring coverage during the holidays and minimizing gaps in coverage due to required training etc.
• Assist to ensure timely correction of errors for staff across multiple EHR systems with a maximum turnaround time of 24 hours.
• LPHA Program Manager II, Reauthorization Manager will provide consultation as needed to SUDs/LPHAs within the intake department and residential treatment programs.
• Assist with psychological crisis either directly or by assigning other mental health staff as appropriate.
• Works to improve workflows in collaboration with the site leadership. Adheres to metrics related to bed flow/utilization and county contract deliverables related to intake, withdrawal management, and residential programs.

Direct Service and Individual Responsibilities:
• Conducts 8-10 reauthorizations weekly, supports with resubmissions and may support as needed with 3.2 withdrawal management LOCs and residential LOCs.
• As needed, provides crisis intervention with referrals out to crisis support services.
• Provides support and psychoeducation about health and mental health prob