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Utilization Management Coordinator
Location:
Macon, GA
Description:
Utilization Management Coordinator About River Edge Behavioral Health Serving more than 10,000 Georgians, River Edge continues to be one of the state's leading resources for mental health, substance use disorder treatments and supports as well as individuals with intellectual and development disabilities. The full continuum of River Edge Behavioral Health services provide state-of-the-art treatment and support services for more than 13,000 children, youth, families and adults annually, who experience mental illness, addiction, co-occurring disorders or developmental disabilities. This position requires a person who is passionate and motivated to ensure client records have the appropriate authorizations and clinical information necessary for Behavioral Health services in order to "make life better" for the clients we serve. In this role: Duties & Responsibilities Create Connects batch files Retrieve and process response files from Beacon's SFTP site Work Connects documents in rejected, denied, hold, no CID, multi-final payer and status appropriately Review discharge connects and flip to UM complete Manage and process BHL CSU authorizations and update Carelogic Review and process AC file for BHL CSU authorization Complete State Discharge process for Fulton locations Create PTRF referral via Beacon authorization request Review and process Connects documents in UM review Run Service delivery, service history, service history (staff credential), ADA group and failed claims reports Manage Carelogic client discharge process Review each client record discharge request and create discharge connects, discharge summary Minimum Training & Experience COVID Vaccinated High School Diploma (Bachelors in helping profession such as social work, community counseling, counseling psychology, or criminology preferred) 1-3 years of utilization management experience Attention to detail and ability to work well under pressure Must effectively manage time All selected applicants must pass a satisfactory background/motor vehicle clearance and pre-employment drug test. Due to the volume of applications received, we are unable to provide information on application status by phone or e-mail. All qualified applicants will be considered; however, only those selected for an interview will be contacted by the hiring managers. Applicants who are not selected will receive notification via email. This position is subject to close at any time once a satisfactory applicant pool has been identified. We at River Edge believe every employee has a right to a safe work environment. Therefore, we require full vaccination of all employees. Getting the vaccine, frequently washing your hands, sanitizing common areas, and wearing your mask continues to be the most effective way to fight COVID-19. Job Posted by ApplicantPro
Company:
River Edge
Posted:
December 26 2023 on ApplicantPro
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More About this Listing: Utilization Management Coordinator
Utilization Management Coordinator is a Executive Manager Job at River Edge located in Macon GA. Find other listings like Utilization Management Coordinator by searching Oodle for Executive Manager Jobs.
Utilization Management Coordinator is a Executive Manager Job at River Edge located in Macon GA. Find other listings like Utilization Management Coordinator by searching Oodle for Executive Manager Jobs.