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Utilization Assistant

2 months ago


El Paso Texas, United States Rio Vista Behavioral Health Full time

Job Summary:

Rio Vista Behavioral Health is seeking a highly skilled and detail-oriented 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.

Key Responsibilities:

  • Perform pre-certification and negotiation of continued stay with third-party payers, ensuring seamless communication and efficient resolution of issues.
  • Gather and analyze data to support case management activities, including presentation of gathered data and case notes, to inform clinical decision-making.
  • Coordinate discharge planning with the clinical team, maintaining accurate records and following up on patient status to ensure timely and effective transitions.
  • Present case information and the needs of third-party payers to relevant stakeholders, fostering strong relationships and ensuring optimal outcomes.
  • Assist in admissions review, concurrent reviews, and discharge planning, providing critical support to the clinical team.
  • Assist physicians in peer review by serving as an information resource, gathering data to support review, and scheduling peer review as needed.
  • Inform management about the status of current patients, documenting utilization activities as instructed, and participating in performance improvement activities to drive continuous quality improvement.

Requirements:

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

What We Offer:

Rio Vista Behavioral Health is committed to providing a supportive and inclusive work environment that fosters growth and development. As a valued member of our team, you will have access to opportunities for professional growth and development, as well as a competitive compensation and benefits package.