Utilization Assistant

North Port Behavioral HealthNorth Port, FL
9d

About The Position

​PURPOSE STATEMENT: ​Provide administrative support to the Utilization department.

Requirements

  • High school diploma or equivalent required.

Nice To Haves

  • Current certification as Registered Addiction Specialist, certified Substance Use 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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