Addictions Counselor 2 (McPike ATC) (NY HELPS)

Responsibilities

• Gathers medical necessity documentation and communicates with insurance companies to secure authorizations for treatment.
• Communicates with insurance companies and completes required concurrent review actions.
• Completes retroactive insurance authorizations.
• Manages all appeals.
• Coordinates with the clinical team to gather documentation for authorizations and reviews.
• Attends bi‑weekly agency wide revenue meetings.
• Authors data reports as needed.
• Works with private insurance companies to determine ASAM level of care.
• Admission determination, admission interviews, outreach activities, scheduling, etc.
• Communicates with insurance companies to obtain both preauthorization and concurrent reviews to obtain payment for treatment.
• Functions as member of the multidisciplinary treatment team.
• Authors procedurally correct patient records including justification for continued stay and progress toward meeting treatment goals.
• Daily documentation in the electronic health record (EHR).
• Accepts referrals from community‑based referral sources and accepts self‑referrals.
• Contacts referral source when a referral is made to thank the agency for the referral and provide a tentative date for admission interview as appropriate.
• Schedules admissions based on scheduled discharges and open bed capacity.
• Manages the waiting list – maintains contact with all prospective patients and/or referral source to ensure patient safety and coordinate services to meet prospective patient needs prior to admission; documents all contacts in Avatar; reports on waiting list status in Leadership meetings.
• Provides report on daily admissions scheduled for morning treatment team meeting.
• Greets all new admissions with a welcoming and supportive attitude and meets initial patient needs as appropriate.
• Completes the LOCADTR on new admissions.
• Completes accurate and timely data entry of admission information at the time of admission.
• Works with physicians, nurses, resource agent, and psychologist, relaying areas of concern on newly admitted patients.
• Completes case management duties as assigned.
• Completes other job‑related duties as assigned.

Qualifications

• Currently employed as an Addictions Counselor 2.
• Current registration as a Credentialed Alcoholism and Substance Abuse Advanced Counselor (CASAC‑Advanced) or Credentialed Alcoholism and Substance Abuse Master Counselor (CASAC‑Master) in NYS AND one‑year post‑CASAC professional counseling experience.
• Eligible for transfer.
• HELPS Program eligible.
• Position may be designated 55 b/c, subject to verification of applicant eligibility.
• Must possess current registration as a Credentialed Alcoholism and Substance Abuse Counselor (CASAC) in New York State.
• Must be eligible and maintain eligibility for full and unconditional participation in the Medicaid and Medicare programs.
• Failure to maintain certification and Medicaid/Medicare eligibility will result in termination of employment.
• Mandatory overtime (MOT) is a requirement; chosen candidate(s) will be added to the mandatory overtime roster, utilized on a rotating basis during emergencies after other staffing options are exhausted; ATCs operate 24/7/365, making MOT an essential function for client health and safety.
• Appointment status will be discussed in more detail with candidates under serious consideration.
• Potential non‑competitive appointment via the HELPS program; additional HELPS program information will be provided if applicable.

Benefits

• Medical, dental, and vision coverage.