Utilization Review Specialist
2 weeks ago
Job Description
Job Description
Avenues Recovery Center
is a nationwide network of drug and alcohol rehab centers with fourteen locations across five states. We offer highly individualized treatment in a clean, modern, comfortable setting, spanning every level of care, including detox, residential, PHP, IOP, and outpatient services. The secret to our success is our people - merged with a premier clinical program, it's allowed us to transform the lives of thousands of people to date. If you're passionate about recovery and want to impact others in a meaningful way - we warmly invite you to join our growing family
We are currently seeking to hire
Utilization Review Specialists
to join our corporate UR Team in
NJ
The Utilization Review Specialist collaborates with Avenues Recovery facilities regarding Utilization Review (UR) and ensures that all clients are authorized for treatment at the appropriate level of care in a timely manner. The UR Specialist serves a dual function ensuring quality and comprehensive charting of all services rendered by maintaining collaborative lines of communication with facility leadership.
Responsibilities Include , but are not limited to, the following:
Fielding incoming calls, emails and other correspondence relating to new clients that require Authorization
Working closely with the Avenues Recovery billing team to properly coordinate and flag potential issues that may arise
Assist staff with creating uniformed templates and processes that can be used at all Avenues facilities
Work with site administrators to ensure that proper templates and processes are being implemented
Manage a client caseload and Coordinate with treatment team to assess and advocate for continued stay at recommended level of care
Documenting and maintaining electronic records related to all UR correspondence and authorization by utilizing internal computer software
Nursing degree/knowledge in healthcare preferred
Competencies
(Knowledge, Skills, and Abilities):
Communication skills a must
Excellent Interpersonal Skills
Acute Observational Skills
Strong Written and Oral Communication Skills
Physical and Mental Stamina
Flexible
Sound Judgement
Team Player
Required Education
Graduation from High School or GED/Bachelor's Degree
Must be able to read, write, speak, and understand the English language
Required Experience
A minimum of 1-year experience in treatment industry preferred.
Licensure/Certification
Current and valid state issued Driver License
Valid CPR certification and First Aid
Avenues
features a rich, fulfilling workplace culture where each person is valued and greatness is pursued. We support our employees unconditionally, and work to provide them with every resource they need to excel Aside from generous PTO and compensation, when you join the Avenues family, you'll be eligible for the following benefits package:
· 401K with 100% employer match
· Medical Insurance
· Dental
· Vision
· Accident
· Critical Illness
· Hospital Indemnity
· Voluntary Short-Term Disability
· Voluntary Long -Term Disability
· Employer-Paid Life and AD&D
· LifeTime Benefit Term Insurance with Long Term Care
· Legal Coverage
· Pet Insurance
· Identity Theft Protection
· Employer-Paid Employee Assistance Program
· Flexible Spending Account (FSA) - Medical
· Dependent Care FSA (DCF)
Join our growing team and discover the magic here at Avenues
Apply today
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