Impactful Utilization Review Case Manager

Seaside Healthcare; Zachary (LA); On-site; USD 55,000 - 75,000; Full time

Job summary

Seaside Health System invites applications for the Utilization Review (Case Manager) role. This position focuses on organizing and providing information to advocate for pre-certifications and authorizations from insurers to support patient care.

The role requires a Bachelor's degree in a related field, CPR and CPI certifications, and UR experience in behavioral health. Strong communication and computer literacy are essential for success in this non-exempt, on-site position at Seaside Health

Qualifications

• Bachelor's degree in related field required.
• CPR and CPI certification required.
• Experience in Utilization Review in behavioral health preferred.
• Excellent verbal and written communication skills; ability to work with diverse teams.

Responsibilities

• Provides direct patient care by assisting patients with case management needs (25%).
• Obtains pre-certifications and authorizations from insurance companies (25%).
• Participates as active member of treatment team (15%).
• Facilitates psychoeducation groups and documents on assigned caseload (30%).
• Other duties as assigned (5%).

Skills

Verbal communication

Written communication

Organizational skills

Utilization Review

Education

Bachelor's degree in related field

CPR certification

CPI certification

Tools

EMR systems

Job description

Seaside Health System invites applications for the Utilization Review (Case Manager) role. This position focuses on organizing and providing information to advocate for pre-certifications and authorizations from insurers to support patient care.

The role requires a Bachelor's degree in a related field, CPR and CPI certifications, and UR experience in behavioral health. Strong communication and computer literacy are essential for success in this non-exempt, on-site position at Seaside Health