Utilization Review Manager - Home Care jobs in Huntington, WV

About Addiction Recovery Care

At Addiction Recovery Care we incorporate the best practices of clinical drug addiction treatment. We provide addiction recovery that works with a commitment to provide hope and freedom to those suffering from addictions. Our passion is to restore productive lives through a recovery program that establishes emotional health, physical wellness, and spiritual growth. Our dedication is to see transformed lives anchored in strong family relationships, meaningful careers, and social responsibility. 

Qualifications:

• Minimum of 2 years administrative and management setting familiarity, with Performance Improvement and Standards necessary.
• Communications skills to relate to all levels of management and counseling staff.
• Self-motivated and confident Application of Continuous Quality Improvement/Performance Improvement philosophy and ability to develop the organizational strategy.

Licensure/Certification:

• Licensure to practice clinical discipline in the state of Kentucky, as applicable, required in Social Worker, Marriage and Family Therapist, Mental Health Counselor and/or Certified Addiction Professional.

Job Duties:
The function of Utilization Review is to facilitate the provision of efficient clinically driven
services to clients and providers through monitoring, evaluating, and influencing processes that
impact the delivery of services. This position will work as part of a multidisciplinary team.
●  Perform initial, concurrent, and retrospective reviews utilizing concurrent review forms
and/or medical notes, clinical notes, medication lists, and/or other information in the
electronic medical record to ensure that all services have been delivered
● Confer with medical, clinical, and other staff to determine legitimacy of treatment and
length of stay
● Analyze insurance, governmental, and accrediting standards to determine criteria
concerning admissions, treatment, and length of client stay
● Participate in all state and staff regulatory training as required
● Maintain accurate data for assigned facility
● Be willing to learn in detail about InterQual and ASAM levels of care
● Demonstrate outstanding, prompt, and polite communication skills, both oral and written;
UR tasks rely heavily on phone calls and email communication
● Must be able to demonstrate problem solving skills and respond quickly to administrative
complications and requests
● Adhere to program policies and procedures while maintaining a professional code of
ethics
● The UR Clinician is expected to protect the privacy of all client information in
accordance with Addiction Recovery Care LLC/Odyssey INC’s privacy policies,
procedures and practices, as required by federal and state law, in accordance with general
principles of professionalism as a healthcare provider.

Knowledge and Experience:
● Demonstrate knowledge of health care service delivery systems.
● Ability to apply and interpret admission and continued stay criteria.
● Strong understanding of admission and discharge criteria.
● Knowledge of medical record keeping requirements and familiarity with
medical/psychiatric terminology, diagnostic terms, and treatment modalities.
● Ability to comprehend and interpret a variety of medical reports including laboratory
results.

Addiction Recovery Care, LLC is an Equal Opportunity Employer