Wisconsin Licensed Care Advocate

Job Summary

Providing leadership in the treatment process, the full-time salaried Wisconsin Licensed Care Advocate will coordinate patient care, advocate for medical necessity authorization, and support process improvement initiatives while working remotely.

Key responsibilities

• Act as the liaison between the organization and third-party payers for medical necessity authorizations and documentation compliance
• Collaborate with clinical staff to ensure quality patient care and manage discharge planning
• Support process improvement initiatives and assist new care advocates in adhering to standard work

Required qualifications

• 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