Utilization Manager: Clinical Compliance & Training Leader

Pathways; Savannah (GA); On-site; USD 65,000 - 95,000; Full time

Benefits offered by this job

8:30am-5:00pm office schedule

Mileage & Cell Phone Reimbursement

SoFi at Work

401 K Plan

Health, Dental, Vision

Employee Assistance Program

Dell and Verizon discounts

Company laptop and IT support

Career development and CE credits

Job summary

Pathways is seeking an Utilization Manager in Savannah, GA to coordinate Utilization Management functions for the agency. You will train staff on documentation, review utilization, and ensure compliance with guidelines and licensure requirements.

The role emphasizes on-site coordination, staff training, and collaboration with a national agency, with growth opportunities and comprehensive benefits available to employees.

Qualifications

• Licensed as LCSW, LPC, LMSW, or LAPC.
• Ability to communicate effectively, both orally and in writing.
• Ability to train others

Responsibilities

• Coordinate Utilization Management functions for the agency.
• Train staff on proper documentation and submissions.
• Provide feedback to staff to meet guidelines and licensure requirements.
• Perform Utilization Management reviews and coordinate resolutions of pended authorizations.
• Track service utilization and contract compliance.
• Assist in external audits and corrective action plans.
• Test electronic medical record functionality regularly

Skills

Licensed LCSW/LPC/LMSW/LAPC

Effective communication

Training others

Job description

Pathways is seeking an Utilization Manager in Savannah, GA to coordinate Utilization Management functions for the agency. You will train staff on documentation, review utilization, and ensure compliance with guidelines and licensure requirements.

The role emphasizes on-site coordination, staff training, and collaboration with a national agency, with growth opportunities and comprehensive benefits available to employees.