Wisconsin Licensed Care Advocate

Job Summary

Wisconsin Licensed Care Advocate is a part-time position responsible for facilitating the treatment process, coordinating patient care, and ensuring quality outcomes while managing risk and compliance with regulations.

Key Responsibilities

• Coordinate and track patient care, including liaising with third-party payers and ensuring medical necessity documentation
• Provide education and training to clinical staff on documentation and medical necessity requirements
• Support process improvement initiatives within the Utilization Review department and maintain communication with stakeholders

Required Qualifications, Training, and Education

• Bachelor's Degree required; Behavioral Science preferred
• Two years of previous work experience in an office or hospital setting preferred
• Knowledge of managed care, Medicaid, and Medicare
• Utilization review experience in a hospital, outpatient, or managed care setting preferred
• Computer skills required, including proficiency in word processing and data processing