Full time
Day Shift
Samaritan Hospital
Full Time Authorization Clinician
The Authorization Clinician for outpatient is responsible for the tracking and review of those cases requiring telephonic case management. Tracking is accomplished via computer. Pre-authorization and case management is done with reviewers at the Managed Care Organization that is responsible for approving a client's treatment.
The Authorization Clinician for inpatientis responsible for managing the authorization process for prospective patients and insurersThis involves determiningan appropriate level of care based on established admission criteria; once those determinations are made, presenting the clinical cases to insurers and managed care companies to secure authorizations for admission to treatment at the St. Peters inpatient rehabsAlso responsible for welcoming and registering incoming patients to rehab, screening prospective clients for placement into the numerous St. Peter's addictions programs &investigating delinquent accounts and securingpayment for denials;The Authorization Clinician is instrumental in answering inquiries from referents and persons in the community seeking treatment for substance abuse, providing guidance to appropriate levels of care in the SPARC continuum or other agencies in the community.
Education Requirements
Experience Requirements
Pay range: $24.60-$35.70
Pay is based on experience, skills, and education. Exempt positions under the Fair Labor Standards Act (FLSA) will be paid within the base salary equivalent of the stated hourly rates. The pay range may also vary within the stated range based on location
Our Commitment
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.
Trinity Health is one of the largest not-for-profit, Catholic health care systems in the nation. It is a family of 123,000 colleagues and nearly 27,000 physicians and clinicians caring for diverse communities across 26 states. Nationally recognized for care and experience, the Trinity Health system includes 88 hospitals, 135 continuing care locations, the second largest PACE program in the country, 136 urgent care locations and many other health and well-being services. Based in Livonia, Michigan, its annual operating revenue is $21.5 billion with $1.4 billion returned to its communities in the form of charity care and other community benefit programs.
