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Utilization Review Assistant

Company: Rebound Behavioral Health Hospital
Location: Lancaster
Posted on: June 22, 2022

Job Description:

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 Abuse Counselor or similar certification preferred.

Keywords: Rebound Behavioral Health Hospital, Rock Hill , Utilization Review Assistant, Other , Lancaster, South Carolina

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