Utilization & Case Management Coordinator

Acadia Healthcare; Fort Wayne (IN); On-site; USD 40,000 - 54,000; Full time

Job summary

Acadia Healthcare is seeking an administrative professional to support the Utilization department. You will handle pre-certification, gather data for case management, and assist with discharge planning alongside the clinical team.

The role involves coordinating with third-party payers, maintaining patient data, and supporting ongoing reviews. A high school diploma is required, and certification as a Registered Addiction Specialist or similar is preferred.

Qualifications

• High school diploma or equivalent required.
• Certification as Registered Addiction Specialist or Certified Substance Use Counselor preferred.

Responsibilities

• Provide administrative support to the Utilization department.
• 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.

Education

High school diploma or equivalent

Certification as Registered Addiction Specialist or Certified Substance Use Counselor (preferred)

Job description

Acadia Healthcare is seeking an administrative professional to support the Utilization department. You will handle pre-certification, gather data for case management, and assist with discharge planning alongside the clinical team.

The role involves coordinating with third-party payers, maintaining patient data, and supporting ongoing reviews. A high school diploma is required, and certification as a Registered Addiction Specialist or similar is preferred.