Behavioral Health Utilization Rvw Case Manager Fulltime Days
Full Time
Sarasota, FL 34239
Posted
Job description
Department Behavioral Health IP Job Summary Performs facility and third party payor admission and concurrent reviews. Facilitates peer review as dictated by the Utilization Review Plan. Attends treatment planning meetings to assist with the documentation of care/treatment. Monitors discharge plan development. Knowledgeable and applies current InterQual criteria (IS, SI). Required Qualifications - Require a minimum of three (3) year of experience working in a behavioral health setting. Must have a minimum of one (1) year of experience obtaining insurance authorizations from third party payors. - Require current Florida LCSW, LMHC, RN, or LPN license. Preferred Qualifications - Prefer utilization review experience along with monitoring and evaluating records for quality and appropriateness of care. - Prefer demonstrated knowledge of regulatory and reimbursement requirements. - Prefer demonstrated knowledge of chart analysis and data retrieval. - Prefer demonstrated interpersonal and oral/written communication skills. - Prefer the ability to form effective working relationships with the various disciplines involved in the treatment and care of psychiatric patients. - Prefer demonstrated computer literacy with windows-based programs and other applications. Mandatory Education Preferred Education BD: Bachelor Degree Required License and Certs Preferred License and Certsarclintfl.com is the go-to platform for job seekers looking for the best job postings from around the web. With a focus on quality, the platform guarantees that all job postings are from reliable sources and are up-to-date. It also offers a variety of tools to help users find the perfect job for them, such as searching by location and filtering by industry. Furthermore, arclintfl.com provides helpful resources like resume tips and career advice to give job seekers an edge in their search. With its commitment to quality and user-friendliness, arclintfl.com is the ideal place to find your next job.