Utilization Management Assistant - Highland Rivers Health

There is a place for you at Highland Rivers Behavioral Health!Highland Rivers provides treatment and recovery services to individuals impacted by mental illness; substance use disorders and intellectual developmental disabilities.Are you ready to make a Difference?JOB SUMMARY:The Utilization Management Department works closely with the Billing Department, and other internal programs/external entities to obtain authorization of services rendered by the agency to ensure timely reimbursement. The Utilization Management Assistant ensures the agency provides quality services and complies with agency, state, and federal guidelines.Duties and Responsibilities include:

• Offers Admin Support to Utilization Management staff.
• Run, review, and distribute various UM reports to appropriate staff daily/weekly as indicated.
• Review Connects Discharge requests for accuracy. Notify the appropriate staff member when corrections are needed.
• Monitor the UM Review screen for various Connects Document Statuses.
• Review censuses, check payers, and notify staff of any needs.
• Demonstrates willingness to accept additional duties as assigned and complete by deadlines negotiated with supervisor.
• Other duties as assigned.

Benefits:

• Health Insurance through the State Health Benefit Plan of GA
• Flexible Benefits such as dental, vision, life, critical illness, etc.
• Retirement Plan with employer matching
• 4 weeks of Paid Time Off with increase of accruals based on years of service
• 10 paid holidays
• 1 personal day
• Qualifying employer for Public Student Loan Forgiveness
• NHSC loan forgiveness in qualifying counties.
• Clinical supervision for candidates on a licensure track.