Utilization Management - Acadia Healthcare (Arkansas)

Description

Conway Behavioral Health is seeking a bachelor’s prepared professional with knowledge and experience in certification requirements of health insurance companies and third party payers for coverage of their hospital stay. A career at Conway Behavioral Health is an ideal fit for an individual who enjoys fast-paced, interdisciplinary workplace that offers the chance to help those who are most in need of psychiatric services. The right applicant will be capable of acting as a liaison between managed care organizations and the facility professional clinical staff, facilitate peer review calls between facility and external organizations, apply the appeal process for denied admission or continued stays, and provide support for staff in staying current on documentation requirements and medical necessity updates.

Education/Experience/Skills Requirements:

+ Bachelor’s degree from an university or college in Psychology, Social Work, Counseling, Nursing or other healthcare field required.

+ Previous experience in utilization management preferred.

+ Previous experience working with insurance companies preferred.

LICENSES/CERTIFICATIONS:

+ LPN or RN license preferred.

+ CPR and CPI required (training offered by facility upon hire)

Qualifications

Skills

Required

+ Planning & Organizing: Intermediate

+ Problem Solving: Intermediate

+ Communication: Intermediate

+ Attention to Detail: Intermediate

Behaviors

Required

+ Detail Oriented: Capable of carrying out a given task with all details necessary to get the task done well

+ Dedicated: Devoted to a task or purpose with loyalty or integrity

Motivations

Required

+ Self-Starter: Inspired to perform without outside help

+ Flexibility: Inspired to perform well when granted the ability to set your own schedule and goals

+ Ability to Make an Impact: Inspired to perform well by the ability to contribute to the success of a project or the organization

Education

Preferred

+ Bachelors or better in Nursing/Healthcare

+ Bachelors or better in Psychology

+ Bachelors or better in Social Work

Licenses & Certifications

Preferred

+ Reg Nurse

+ Lic Practical Nurse

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c)

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