Utilization Coordinator

1 week ago


Fort Wayne, Indiana, United States Maple Heights Behavioral Health Full time

{"Overview": "At Maple Heights Behavioral Health, we are seeking a highly skilled Utilization Assistant to join our team. As a key member of our Utilization department, you will play a critical role in providing administrative support to our clinical team.

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 our clinical team.
* 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.
* Inform management about the status of current patients; documents utilization activities as instructed. Participates in performance improvement activities.

Qualifications:

* High school diploma or equivalent required.
* Current certification as Registered Addiction Specialist, certified Substance Abuse Counselor or similar certification preferred.

We are committed to providing equal employment opportunities to all applicants for employment regardless of an individual's characteristics protected by applicable state, federal and local laws.

If you are a motivated and detail-oriented individual who is passionate about delivering exceptional patient care, we encourage you to apply for this exciting opportunity.

Please note that management reserves the right to add or remove duties from particular jobs when circumstances dictate.

We look forward to reviewing your application.

Best regards,
[Your Name]"}


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