Utilization Review Assistant
5 days ago
Full-Time
Village Behavioral Health is a psychiatric residential treatment center that offers a full spectrum of treatment options for children and adolescents ages 10-17. A uniqueness of Village Behavioral Health is that we use nature as part of our therapeutic process. We are nestled in Louisville, TN right on the Tennessee River spread out over 65 wooded acres.
Pay Range: $15 to $20/hour depending on education level and experience
Schedule: Office hours Monday-Friday
Benefits:
- Growth opportunities
- Competitive hourly rates
- Free breakfast, lunch and dinner while on shift
- Handle with Care Training
- CPR Training
- Medical, Dental, and Vision Insurance
- Paid Holidays
- Paid Time Off
- 401(k) Retirement Plan - with company match
- Employee Assistance Program/Employee Discount Program
•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.
Requirements:
- High school diploma or equivalent required.
- Current certification as Registered Addiction Specialist, certified Substance Abuse Counselor or similar certification preferred.
- Valid driver's license required.
Must pass pre-employment drug screen, 7-year criminal background screen, fingerprint screen, MVR screen, work history and reference check.
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c)
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