Utilization Review Coordinator I HO501

Job description

Utilization Review Coordinator

We’re looking for a Utilization Review Coordinator who is excited to join our passionate, authentic and courageous team. We’re uncompromising in the pursuit of excellence: our core values are more than just words on a page - we live and breathe them. To work at Landmark Recovery is to make a promise to help our patients achieve their wildest dreams. Our mission is to unlock human potential and save a million lives over the next hundred years.

Landmark Recovery operates Residential Treatment Programs for individuals with Substance Abuse Disorder. We seek not merely to restore sobriety, but to transform our patients’ worlds from a state of everlasting darkness to vibrant technicolor. We believe that treatment is local, individualized, holistic and relational. We’re currently in several states and are rapidly growing nationally. Learn more at https://landmarkrecovery.com/.

We are seeking a Utilization Review Coordinator for our Franklin, TN office.

Summary

Our successful Utilization Review Coordinator candidate will be an organized, efficient, proactive and responsive self-starter. They’ll have a high IQ & EQ, enjoy working collaboratively, be focused, and able to prioritize while juggling multiple situations simultaneously. The most successful candidates will be tenacious, accountable, robustly playful, inspired and inspiring. Successful candidates will be be comfortable with addressing differences and conflict while simultaneously also humble and eager to receive and integrate feedback.

The most successful candidates will have some capacity with being entrepreneurial and nimble, using critical thinking and excellent verbal and written communication skills to achieve desired outcomes. They’ll flow well with what others call stress and be comfortable with addressing differences and conflict while simultaneously also humble and eager to receive and integrate feedback. They’ll demonstrate healthy and motivating ways of giving feedback as well. They’ll demonstrate bringing great care, integrity, and customer service to all they do.

Responsibilities

The Utilization Review Coordinator performs all utilization reviews for detoxification and residential treatment services with insurance companies. The coordinator functions as a clinical liaison between payers, the treatment team, and the business office, providing information and feedback to assist in optimum patient care reimbursement.

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  Proactively gather information from the treatment team and patient records
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  Apply clinical knowledge and present data in an articulate manner, both verbally and in writing
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  Familiarize self with each insurance provider’s requirements to prove medical necessity at every level of care offered in the facility
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  Review medical and clinical records to ensure providers’ documentation meets insurance company criteria for appropriate level of care
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  Where necessary, work with providers and clinical staff to train on proper documentation methods

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  Manage timelines and deadlines to ensure all provided care is authorized and approved
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  Communicate results of all reviews to business office to ensure timely and accurate billing

Qualification's:

Bachelor’s Degree in behavioral health or related field

Novice understanding of ASAM criteria

Knowledge of substance use disorders and co-occurring disorders

Knowledge of common clinical interventions for SUD’s and co-occurring disorders

The Utilization Review Coordinator role will be at our Franklin, TN office.

Compensation is $45-55K annually Benefits (Vision, Medical, Dental, Life, 401K, Paid Time Off, Family Leave).

Additional Compensation includes but is not limited to the following:

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  Student loan repayment after 6 months of employment.(With a one year contract of employment)

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  Yearly Contribution Max: $5,000.00.
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  Contributions are tax free.
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  All contributions are sent directly to the servicer of the loan.
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  Annual increase structure at 6 months, 1 year, and 2 years.

To apply, please include the following information:

1) A passionate and honest cover letter that includes why you are interested in this position and our mission, what you feel is special about yourself, why you are the right person for this job and our organization, a description of your most relevant experiences and salary expectations

2) A current resume

3) Links to your social media profiles, such as LinkedIn, if you have them

At Landmark Recovery, we believe diversity is a strength. We seek talented, qualified employees regardless of race, color, sex/gender, including pregnancy, gender identity and expression, national origin, religion, sexual orientation, disability, age, marital status, citizen status, veteran status, or any other protected classification under country or local law. We are proud to be an Equal Employment Opportunity Employer.

We respect the time and energy it takes to apply for the next step on your career path, so we will make every effort to contact you quickly after receiving your application. Thank you for your consideration and interest in working with us at Landmark Recovery.

Job Type: Full-time

Pay: $45,000.00 - $55,000.00 per year

Education

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  Bachelors or better