Medical Necessity Coordinator
2 days ago
We are seeking a highly skilled and detail-oriented Medical Necessity Coordinator to join our team at Haven Behavioral Healthcare.
About the RoleThis is a part-time position working typical business hours, with approximately 8:30am-12:30pm Monday to Thursday and Friday, and 12:30pm-4:30pm on Wednesday. The successful candidate will be responsible for developing and implementing systems for the authorization, concurrent and retrospective review of inpatient admissions and services.
Key Responsibilities:- Obtain authorization for each admitted patient.
- Review and monitor each step of the authorization process to proactively identify potential problems.
- Interact with physicians and therapists to ensure accurate and consistent reflection of patient assessment and treatment plans in facility documentation.
- Track enrollment status continuously and act on changes as necessary.
- Maintain cumulative documentation regarding actions initiated by staff and self.
To be considered for this role, you should have:
- A Bachelor's Degree in a Behavioral Health field or equivalent experience.
- Two years of clinical experience in a psychiatric setting, with knowledge of medical terminology and insurance and billing practices.
- Licensed clinician experience and prior experience in Utilization Management (UM) is preferred but not required.
Haven Behavioral Healthcare is an equal opportunity workplace dedicated to pursuing and hiring a diverse workforce. We offer a competitive salary and benefits package, including a estimated annual salary of $65,000 based on location and experience.
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Medical Coordinator
4 weeks ago
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