Clinical Utilization Consultant
1 month ago
We are seeking a highly skilled Clinical Utilization Consultant to join our team at Acadia Healthcare. In this role, you will provide consultation and guidance to various payers regarding admissions and patient length of stays.
Key Responsibilities- Secure authorizations with insurance companies for inpatient treatment and continue to obtain authorizations through ongoing clinical reviews until patient discharges from treatment.
- Evaluate the utilization operations for compliance with mandatory policies and procedures.
- Review clinical documentation from denied stays against criteria to determine if documentation is adequate for requested treatment.
- Maintain efficient, positive customer service attitude towards customers, clients, and co-workers while being responsive to their needs.
- May provide oversight and direction to utilization staff.
- Bachelor's degree or better.
- 2-5 years of experience in utilization review.
Why Join Our Team? As a Clinical Utilization Consultant at Acadia Healthcare, you will have the opportunity to work with a talented team of professionals who are dedicated to providing high-quality care to our patients. We offer a dynamic and supportive work environment that encourages growth and development.
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