Utilization Assistant
About this role
This is a PRN position.
PURPOSE STATEMENT:
Provide administrative support to the Utilization department.
ESSENTIAL FUNCTIONS:
- Perform pre-certification and negotiate continued stay with third party payers.
- Gather data to support case management activities, including presentation of gathered data and case notes.
- Coordinate discharge planning with clinical team, maintain CRM database with discharge information and follow up.
- Present case information and the needs of third-party payers to (?).
- Assist in admissions review, concurrent reviews and discharge planning.
- Assist physician in peer review by serving as information resource, gather data to support review and schedule peer review.
- Informs management about the status of current patients; documents utilization activities as instructed. Participates in performance improvement activities.
OTHER FUNCTIONS:
- Perform other functions and tasks as assigned.
EDUCATION/EXPERIENCE/SKILL REQUIREMENTS:
- High school diploma or equivalent required.
LICENSES/DESIGNATIONS/CERTIFICATIONS:
- Current certification as Registered Addiction Specialist, certified Substance Use Counselor or similar certification preferred.
While this job description is intended to be an accurate reflection of the requirements of the job, management reserves the right to add or remove duties from particular jobs when circumstances
(e.g. emergencies, changes in workload, rush jobs or technological developments) dictate.
We are committed to providing equal employment opportunities to all applicants for employment regardless of an individual’s characteristics protected by applicable state, federal and local laws.
Company at a glance
Headquartered in Franklin, Tennessee, Acadia Healthcare was established in January 2005 to develop and operate a network of behavioral health facilities across the country.
Acadia Healthcare’s mission is to create a world-class organization that sets the standard of excellence in the treatment of specialty behavioral health and addiction disorders.
Acadia’s management style and philosophy is one of collaboration and flexibility as we create an energetic and team-oriented service delivery system. Our organization values input from employees, physicians, and all strategic alliances. As evidenced in our mission statement, Acadia Healthcare’s mission is to create behavioral health centers where people receive care that enables them to regain hope in a supportive, caring environment. We want Acadia to be synonymous with excellent care, phenomenal customer service and an unparalleled commitment to our patients, staff, physicians, and community.
As a leading provider of behavioral healthcare services in the United States and Puerto Rico, Acadia Healthcare operates 253 treatment facilities across 39 states. Our network of treatment facilities offers multiple levels of care for various behavioral health and substance use disorders. At Acadia, our primary goal is to meet patients where they’re at in their treatment process. We do this by providing a multitude of levels of care, including detoxification, residential treatment for addiction, residential treatment for dual diagnosis, acute psychiatric inpatient hospitalization, medication-assisted treatment (MAT) services, and an array of outpatient programming options, ranging from partial hospitalization programs (PHPs) and intensive outpatient programs (IOPs) to traditional outpatient services. Our network of treatment facilities creates greater access to care, reduces the stigma associated with mental illness and addiction, and offers those in our communities a safe environment in which to receive the treatment they need.
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