Valley Behavioral Health System ยท 22 hours ago
Utilization Assistant
Valley Behavioral Health is focused on providing patients with the tools and knowledge needed to live happy, healthy lives. The Utilization Assistant will provide administrative support to the Utilization department by gathering data to support case management activities and coordinating discharge planning with the clinical team.
Health CareHospitalWellness
Responsibilities
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
Perform other functions and tasks as assigned
Qualification
Required
High school diploma or equivalent required
Preferred
Current certification as Registered Addiction Specialist, certified Substance Abuse Counselor or similar certification preferred
Company
Valley Behavioral Health System
Valley Behavioral Health System offers children, adolescents, teens, adults, and seniors life-changing behavioral health care services.