Utilization Assistant
About The Position
Come join our team at Valley Behavioral Health as an Utilization Assistant ! Offering the highest quality of treatment in the area, Valley Behavioral Health focuses on providing patients with the tools and knowledge needed to live happy, healthy lives. Regardless of the level of care, patients receive personalized treatment by a multi-disciplinary team of therapists, social workers, psychiatric nurses, and other caring mental health professionals. PURPOSE STATEMENT: The Utilization Assistant will provide administrative support to the Utilization department by gathering data to support case management activities, including presentation of gathered data and case notes.
Requirements
- High school diploma or equivalent required.
Nice To Haves
- Current certification as Registered Addiction Specialist, certified Substance Abuse Counselor or similar certification preferred.
Responsibilities
- Perform pre-certification and negotiate continued stay with third party payers.
- Gather data to support case management activities, including presentation of gathered data and case notes.
- Coordinate discharge planning with clinical team, maintain CRM database with discharge information and follow up.
- Present case information and the needs of third-party payers to (?).
- Assist in admissions review, concurrent reviews and discharge planning.
- Assist physician in peer review by serving as information resource, gather data to support review and schedule peer review.
- Informs management about the status of current patients; documents utilization activities as instructed.
- Participates in performance improvement activities.
- Perform other functions and tasks as assigned.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
Number of Employees
501-1,000 employees
