Clinical Operations Coordinator
7 days ago
River Edge Behavioral Health is seeking a highly skilled Clinical Operations Coordinator to join our team. As a key member of our Utilization Management department, you will play a critical role in ensuring the smooth operation of our clinical services.
Key Responsibilities- Create and manage batch files for Connects
- Retrieve and process response files from Beacon's SFTP site
- Work with Connects documents to ensure accurate and timely processing
- Manage and process BHL CSU authorizations and update Carelogic
- Review and process the AC file for BHL CSU authorization
- Complete the State Discharge process for Fulton locations
- Create PTRF referrals via Beacon authorization requests
- Review and process Connects documents in UM review
- Run reports on service delivery, service history, and failed claims
- Manage Carelogic client discharge processes
- Review client records and create discharge connects and summaries
- High School Diploma (Bachelor's degree in a related field preferred)
- 1-3 years of experience in utilization management
- Attention to detail and ability to work well under pressure
- Effective time management skills
- Competitive pay and benefits package
- Medical, dental, and vision insurance
- Paid time off and 12 paid holidays
- 401(k) with employer match
- Flexible spending accounts
- Short and long-term disability coverage
- Life insurance
- Employee discount program
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