Utilization Assistant

Acadia Healthcare; Fort Wayne (IN); On-site; USD 22,000 - 30,000; Full time

Job summary

Acadia Healthcare is seeking an administrative professional to support the Utilization department in a PRN capacity. The role involves pre-certification, payer negotiations, and data gathering to support case management.

You will coordinate discharge planning with the clinical team, maintain the CRM with discharge information, and assist in admissions reviews and peer reviews as needed. The position supports performance improvement initiatives and documentation of utilization activities.

Qualifications

• HS diploma or equivalent.
• Healthcare admin experience preferred.
• Knowledge of utilization/case management concepts preferred.
• Willingness to work PRN and coordinate with clinical teams.

Responsibilities

• Provide administrative support to the Utilization department.
• Assist in pre-certification and negotiate continued stay with third party payers.
• Gather data to support case management activities and present findings.
• Coordinate discharge planning with clinical team and maintain CRM database with discharge information.

Skills

Administrative support

Data gathering

CRM/database management

Discharge planning

Coordination with clinical team

Education

High school diploma

Tools

CRM software

Job description

Purpose Statement

Provide administrative support to the Utilization department.

This is a PRN position.

Purpose Statement

Provide administrative support to the Utilization department.

Essential Functions

• Perform pre-certification and negotiate continued stay with third party payers.
• Gather data to support case management activities, including presentation of gathered data and case notes.
• Coordinate discharge planning with clinical team, maintain CRM database with discharge information and follow up.
• Present case information and the needs of third-party payers to (?).
• Assist in admissions review, concurrent reviews and discharge planning.
• Assist physician in peer review by serving as information resource, gather data to support review and schedule peer review.
• Informs management about the status of current patients; documents utilization activities as instructed. Participates in performance improvement activities.

Other Functions

• Perform other functions and tasks as assigned.

Education/Experience/Skill Requirements

• High school diploma or equivalent required.

Licenses/Designations/Certifications

• Current certification as Registered Addiction Specialist, certified Substance Use Counselor or similar certification preferred.

While this job description is intended to be an accurate reflection of the requirements of the job, management reserves the right to add or remove duties from particular jobs when circumstances (e.g. emergencies, changes in workload, rush jobs or technological developments) dictate.

We are committed to providing equal employment opportunities to all applicants for employment regardless of an individual's characteristics protected by applicable state, federal and local laws.