Utilization Review Coordinator Job at NANA Healthcare Management, LLC, Dunwoody, GA

SWE4c1h0a1JKMyt0RUFXQXRTV3Z6OE1TNFE9PQ==
  • NANA Healthcare Management, LLC
  • Dunwoody, GA

Job Description

Southern Live Oak Wellness (SLOW), LLC  is an evidence-based, client-centered treatment program that offers clients with all levels of need therapeutic interventions in an environment that is warm and welcoming. SLOW offers PHP, Day and evening IOP, and Residential treatment so that clients can receive care that meets them where they are at and helps them "Be the great person they were always meant to be." We are looking for Utilization Review Coordinators who thrive in a team-based, client-centric environment. Is this you? Read on!

Job Description:
The Utilization Review Coordinator is a vital member of the SLOW Care component of the System of Care.  The Utilization Review Coordinator is under the supervision of the Director of UR and is responsible for analyzing patient records to determine legitimacy of admission, treatment, and length of stay in a health-care facility to comply with government and insurance company reimbursement policies.
Location may vary  

Pay Rate: $65,000 annually
Type: Full-time 

Education:
High School Diploma/GED – AA degree preferred.
Current (five-years) of no felonies or substance abuse convictions.

Experience:
Must have two-years of continuous sobriety prior to hire, if a recovering alcoholic or drug addict and participate in a self-help program.

Knowledge And Training Required at Time of Hire:
  • Familiar with American Society of Addiction Medicine (ASAM) and other insurance criteria scoring tools
  • High familiarity with medical necessity 
  • Experience managing mental health and substance authorizations for RTC, PHP, and IOP levels of care 
  • Ability to work with an interdisciplinary team 
  • Ability to multitask, work independently, and be proficient with time management 
  • Experience scheduling peer reviews and coordinating with providers and their schedules 
  • Ability to answer phone calls, emails, and respond to voicemails in a timely manner
  • Moderate working knowledge of psychiatric conditions, medical conditions, psychotropic medications, and reading lab/blood work results
  • Ability to build and maintain rapport with clinicians, providers, and payers 


Preferred but not required:
Experience managing adolescent authorizations
Experience with Kipu EMR
Experience using online portals such as Availity, ICR, Webpass, etc. 

Benefits:
  • Paid time off
  • Health insurance
  • Dental insurance
  • Vision insurance
  • Life insurance
  • Opportunities for Advancement
  • Paid Holidays

Job Tags

Holiday work, Full time, Afternoon shift,

Similar Jobs

Rutland Regional Medical Center

Physical Therapy Assistant Job at Rutland Regional Medical Center

 ...Physical Therapy Assistant Under the direction and supervision of the Manager and/or a Physical Therapist, the Physical Therapist Assistant performs structured assessment and treatment based on the plan of care developed by a Physical Therapist. The PTA identifies... 

LanceSoft, Inc.

Automation Engineer Job at LanceSoft, Inc.

 ...Title: Automation Engineer Location: Walkersville, MD 21793 Duration: 6 Months Description: ~ Designs automated equipment...  ...complete otherwise manual processes and tasks. Implements automated tests designed to evaluate integrity of automated systems. Defines... 

Medix™

Social Worker - 246079 Job at Medix™

 ...Join our dedicated team as a Supervising Social Worker / Clinical Lead within the transformative CalAIM program ! You will be an integral part of the multidisciplinary team, providing both essential clinical expertise and managerial oversight to staff supporting eligible... 

Warner Norcross + Judd

Banking Attorney Job at Warner Norcross + Judd

 ...About the Position The Financial Institutions Group at Warner is growing, and we are seeking an experienced Banking Attorney. Our team has a strong foundation of talented attorneys, and we are looking to add another professional who will contribute to our ongoing growth... 

Core Clinical Partners

Hospitalist Physician - Nocturnist Job at Core Clinical Partners

 ...Core Clinical Partners is seeking a Board-Certified or Board-Eligible Internal Medicine or Family Medicine physician for a Nocturnist position at Mercy Health Lourdes Hospital in Paducah, Kentucky just two hours from Nashville, TN, offering a perfect blend of professional...