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Form of workJob Description
If you have experience in substance use, mental health and other behavioral health disorders and feel called to help others, we want to speak to you.
Responsibilities:
Conduct Utilization / Concurrent reviews with insurance companies for substance abuse treatment.
Perform concurrent review for all patients to determine the medical necessity and appropriateness of admission based criteria and standards.
Daily email communication with facilities providing updates.
Work in a team environment, providing assistance to numerous facilities and teammates
Negotiate with insurance companies to achieve the highest levels of care for the client based upon ASAM and other criteria.
Conduct continuous reviews of patient progress and communicate this information to insurance companies to achieve the longest possible treatment stay for the patient.
Accesses EMR and follows protocol
Adheres to documentation protocol, notates accounts and reports appropriately
Participates in companywide and departmental meetings
Commits to providing excellent customer service while maintaining the highest degree of professionalism while working in a team environment to meet goals
Understands and complies with all HIPAA rules and regulations
Requirements/Qualifications:
Knowledge of ASAM dimensions and DSM V
Knowledgeable in using Microsoft Office
Ability to work as part of a dynamic team
Knowledge of electronic medical records , KIPU , Zen , Alleva
Proven track record of success in the substance abuse and mental health industry
Status: Full-Time
Must be able to work on call rotation when needed
Salary is based upon experience and credentials
Job Types: Full-time, Part-time
Expected hours: 30 – 40 per week
Benefits:
401(k)
Flexible schedule
Paid time off
Schedule:
Day shift
Monday to Friday
On call
COVID-19 considerations: We are practicing all the safety precautions that the CDC guidelines have suggested and any laws implemented by state and local governments
Work Location: In person
