Utilization Manager
About The Position
The Utilization Manager will coordinate Utilization Management functions for the agency. This role involves training staff on proper documentation, including assessments, treatment planning, progress notes, and transition/discharge plans. The manager will provide feedback to staff regarding necessary changes to meet service guidelines, fidelity review, and licensure requirements. Additionally, they will train staff on the proper submission of Registration, Authorization, and Discharge requests, perform Utilization Management reviews (including On Hold reports), and coordinate the resolution of pended authorizations. The role also includes tracking utilization of services and compliance with contractual requirements, assisting in the coordination of external audits, and developing and implementing corrective action plans. The manager will also complete regular testing of the electronic medical record functionality. This position offers a weekday office schedule from 8:30 am to 5:00 pm, with stability and growth opportunities within a national agency.
Requirements
- Licensed as LCSW, LPC, LMSW, or LAPC
- Ability to communicate effectively, both orally and in writing.
- Ability to train others
Responsibilities
- Coordinate Utilization Management functions for the agency.
- Train staff on proper documentation, including assessments, treatment planning, progress notes, and transition/discharge plans.
- Provide feedback to staff regarding changes needed to meet service guidelines, fidelity review, and licensure requirements.
- Train staff on proper submission of Registration, Authorization, and Discharge requests.
- Perform Utilization Management reviews, to include On Hold reports.
- Coordinate resolution of pended authorizations.
- Track utilization of services and compliance with contractual requirements.
- Assist in the coordination of external audits.
- Develop and implement corrective action plans.
- Complete regular testing of the electronic medical record functionality.
Benefits
- Paid vacation days that increase with tenure
- Separate sick leave that rolls over each year
- Up to 10 Paid holidays
- Medical, Dental, Vision benefit plan options
- Employee Assistance Program
- Health, Dependent and Transportation Flexible Spending Accounts
- Employee, Spouse and Dependent Basic and Optional Life Insurance
- 401 K Plan
- Mileage & Cell Phone Reimbursement (or company phone)
- Pet Insurance
- DailyPay - daily access to your earnings without waiting for payday!
- SoFi at Work student loan refinancing
- Financial Wellness program webinars and tools
- Company laptop and great IT support
- Verizon discount
- Dell discount
- National discounts on travel, shopping, and entertainment
- Training, Development and Continuing Education Credits for licensure requirements
- Opportunities for advancement
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
