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Brownhealth

Gateway Healthcare Inc., United States of America

Case Worker Outpatient.

$19–32/YR
Under the supervision of the Clinical Director and Clinic Manager of Gateway Child and Family Outpatient Services (CAFOS), coordinate services by processing client referrals; ensuring that client authorizations and care episodes are accurately entered in LifeChart; collaborating with support staff; running LifeChart reports to monitor documentation; assisting with grant data tracking and report preparation; and working with the Billing and Clinical Services departments to resolve issues that prevent services from being billed or reimbursement from being collected from insurance companies. Brown University Health employees are expected to successfully role model the organization's values of Compassion, Accountability, Respect, and Excellence as these values guide our everyday actions with patients, customers and one another. RESPONSIBILITIES: Coordinate CAFOS referrals by responding promptly to inquiries, providing intake dates, verifying insurance eligibility and benefits with Client Registration, and maintaining clear, helpful communication with clients and families. Enter and maintain accurate client opening and closing information in LifeChart, including authorizations, episodes, care team assignments, and related records. Collaborate with clinical staff, clinical leadership, and billing to identify and correct documentation, episode, linking, caseload, and charge-code issues that prevent accurate billing or reimbursement. Prepare and provide reports to managers and clinical leadership to support performance improvement, monitor documentation due dates and staff productivity, and identify operational trends. Participate in billing and clinical meetings to assess workflows and recommend process improvements that support timely, accurate reimbursement. Gather and analyze grant data for children’s programs and assist with preparing required reports for funders. Support implementation of the Missed Appointment/No-Show Policy by reinforcing attendance expectations, addressing logistical barriers, communicating with patients and families, sending required notices, and coordinating with Risk Management and clinical leadership when discharge procedures are indicated. Follow all hospital and Outpatient Department policies, procedures, rules, and regulatory requirements. Maintain current information on community-based services and provide appropriate referral resources to active patients and their families and to patients transitioning from CAFOS services. Perform other duties as assigned by program leadership. MINIMUM QUALIFICATIONS: A Bachelor’s degree in social work, psychology or healthcare administration accompanied by at least one year of relevant experience. Bilingual in Spanish preferred; knowledge of community resources specific to the cultural needs of the community preferred. Demonstrated ability to interact professionally both on the phone and with colleagues. NECESSARY SPECIAL REQUIREMENTS: Knowledge with Excel and ability to work in an electronic record. Excellent customer service. SUPERVISORY RESPONSIBILITIES: None Pay Range: $19.97-$32.96 EEO Statement: Brown University Health is committed to providing equal employment opportunities and maintaining a work environment free from all forms of unlawful discrimination and harassment. Location: Gateway Healthcare Inc. - 101 Bacon Street Pawtucket, Rhode Island 02860 Work Type: 8-4:30 M-F Work Shift: Day Daily Hours: 8 hours Driving Required: No As Rhode Island's largest health system and private employer, Brown University Health is the state's premier provider of health services and includes the only Level I Trauma Center for southeastern New England. Today, more than 20,000 people work at Brown University Health and bring their unique skills, experiences, and compassion to their jobs every day. Formed in 1994, Brown University Health is a not-for-profit health system based in Providence, RI comprising three teaching hospitals of The Warren Alpert Medical School of Brown University: Rhode Island Hospital and its Hasbro Children's; The Miriam Hospital; and Bradley Hospital, the nation’s first psychiatric hospital for children; Newport Hospital, Saint Anne's Hospital and Morton Hospital, community hospitals offering a broad range of health services; Gateway Healthcare, the state’s largest provider of community behavioral health care; and Brown Health Medical Group, the largest multi-specialty practice in Rhode Island. Brown University Health is an equal opportunity employer that values diversity of cultural background, race, gender, age, religion, identity, ability, and perspectives - we are actively committed to a diverse workforce that represents the patients and community that we serve. We are invested in creating a respectful, inclusive, and equitable environment that supports the holistic well-being of our employees and their families. Join us and help build a healthier future for our patients - and for yourself. Company Location Belonging and Engagement Nursing Our Mission
Pay
$19–32/yr
Where
Gateway Healthcare Inc., United States of America
Work
Not stated
Type
Not stated
Posted
22 Oct, 2026
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