Utilization Review Manager - Home Care jobs in Albany, GA

The Utilization Review Coordinator works closely with the other staff of Utilization Review/Management, Intake, Business Office, Medical Records, Clinical Staff, Nursing, and providers to coordinate and communicate patient information to insurance companies for the assignment of benefits.

• Performs clinical reviews over the telephone and electronically.
• Utilizes ASAM criteria (DSM-V) to determine appropriateness of admission, continued stay, discharge criteria and identifies high-risk cases.
• Adheres to accrediting and regulatory agency requirements in maintaining records to ensure compliance.

Turning Point Care Center, LLC

For more than 35 years, Turning Point Care Center has provided a place of healing and hope to adults who suffer from behavioral health disorders and/or substance abuse. We are committed to providing quality behavioral health care through our inpatient and outpatient gender specific programs in Moultrie, GA. Our serene, rural setting gives patients a secure environment where they can build their foundation for lifelong recovery. We believe in creating healthy communities, which start with healthy individuals, linked through sound relationships to their families, friends, neighbors and peers. Quality Healthcare is our passion, improving lives is our reward. We are working to change lives and transform the delivery of healthcare. Visit our website at https://turningpointcare.com/ to learn more!

• RN: Bachelor's Degree
• Counselor/Therapist: Master's degree in Psychology, Social Work or related field
• Licensure is preferred through state composite board for nursing or counseling/therapy:
  • RN (BSN or MSN), LCSW, LPC, LMFT
• Three (3) years of experience in chart analysis, utilization review, medical/clinical terminology, and acuity of illness

This opportunity offers the following:

• CEUs required for biannual licensure for therapists (provided for free without having to use leave to attend)
• Rewarding work environment
• Growth and Development Opportunities within UHS and its 300 Subsidiaries
• Excellent Medical, Dental, Vision and Prescription Drug Plan
• 401k plan with company match and discounted stock plan
• SoFi Student Loan Refinancing Program

Apply online at https://jobs.uhsinc.com/turning-point-care-center

UHS is not accepting unsolicited assistance from search firms for this employment opportunity. Please, no phone calls or emails. All resumes submitted by search firms to any employee at UHS via-email, the Internet or in any form and/or method without a valid written search agreement in place for this position will be deemed the sole property of UHS. No fee will be paid in the event the candidate is hired by UHS as a result of the referral or through other means.

EEO Statement

All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.

We believe that diversity and inclusion among our teammates is critical to our success.

Notice

At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path at UHS and our subsidiaries. We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you are suspicious of a job posting or job-related email mentioning UHS or its subsidiaries, let us know by contacting us at: https://uhs.alertline.com or 1-800-852-3449.

Certification, Case Management, Pre-Cert, Behavioral Health, Commercial Insurance, Medicare, Patient Care, Advocate, Interqual, Case Management Certification (CCM), Utilization Management (UM)