Clinical Resource Optimizer

4 weeks ago


Clifton Springs, New York, United States FLACRA Full time

**Clinical Resource Optimizer Role Overview**

We are seeking a highly organized and detail-oriented Clinical Resource Optimizer to join our team at FLACRA. In this role, you will be responsible for evaluating medical necessity, managing authorizations, and optimizing length of stay approvals for clients in our residential services.

The ideal candidate will have a strong background in utilization management practices, with the ability to communicate effectively with culturally diverse individuals, staff, and community service providers. As a key member of our care team, you will work collaboratively to ensure appropriate treatment plans and manage the authorization process with insurance providers.

This is an exciting opportunity to maximize the efficient use of resources and ensure compliance with regulatory and agency standards.

**Key Responsibilities:**

  • Collaborate closely with Managed Care insurance providers to understand their policies, including grievances and appeals, and assist clients with advocacy as needed.
  • Maximize and increase length of stay approvals for residential services.
  • Work with the care team, client, and family to develop and implement appropriate treatment plans.
  • Complete admissions and continued stay reviews, obtaining necessary insurance certifications/authorizations to secure reimbursement.

**Requirements:**

  • Bachelor's Degree (BA or BS) in Health or Human Services preferred.
  • Qualified Health Professional (QHP) preferred.
  • At least one year of experience in the behavioral health field, with knowledge of utilization management practices.
  • Valid NYS Driver's License.

**Salary Information:**

This is a full-time position with an estimated hourly salary range of $16.50-$17.50. We offer a competitive benefits package and opportunities for professional development.

**About Us:**

Finger Lakes Area Counseling and Recovery Agency (FLACRA) is a growing, not-for-profit provider of behavioral health and substance use treatment services throughout the Finger Lakes Region. Our comprehensive programs include outpatient services, residential care, crisis intervention, vocational support, housing, and youth services.



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