Utilization Assistant

Overview

Provide administrative support to the Utilization department.

• 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 internal stakeholders.
• Assist in admissions review, concurrent reviews and discharge planning.
• Assist physician in peer review by serving as an information resource, gathering data to support reviews and scheduling peer reviews.
• Inform management about the status of current patients; document utilization activities as instructed. Participate in performance improvement activities.
• NPORT

• Perform other functions and tasks as assigned.
• NPORT

• High school diploma or equivalent required.

• Current certification as Registered Addiction Specialist, certified Substance Use Counselor or similar certification preferred.

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