Managed Care Liaison and Clinical Services Coordinator

7 days ago


Peachtree Corners, Georgia, United States Acadia Healthcare Full time
Job Summary

We are seeking a highly skilled UR Specialist to join our team at Acadia Healthcare. As a key member of our clinical services team, you will play a critical role in ensuring seamless communication between managed care organizations and our facility's professional clinical staff.

Key Responsibilities
  • Managed Care Liaison: Act as a liaison between managed care organizations and our facility's professional clinical staff, facilitating effective communication and collaboration.
  • Certification and Reimbursement: Conduct reviews in accordance with certification requirements of insurance plans or other managed care organizations (MCOs), ensuring compliance and accurate reimbursement.
  • Clinical Coordination: Inform clinical and medical staff of specific concerns that may impact patient length of stay, ensuring timely and informed decision-making.
  • Record Keeping: Maintain accurate records of all contact with external organizations and individuals with legitimate interest and legal access to patient information.
  • Quality Improvement: Collaborate with our leadership team to improve the quality of services provided within the organization, identifying areas for growth and implementing process improvements.
  • Additional Responsibilities: Perform other functions and tasks as assigned by management, contributing to the overall success of our clinical services team.
Requirements

To be successful in this role, you will need:

  • Excellent communication and interpersonal skills
  • Ability to work effectively in a fast-paced environment
  • Strong analytical and problem-solving skills
  • Proficiency in record-keeping and data management
  • Knowledge of managed care organizations and certification requirements


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