Utilization Manager: Training, Compliance & Audit Lead

Clarvida; Savannah (GA); On-site; USD 60,000 - 90,000; Full time

Benefits offered by this job

Paid vacation days

Separate sick leave

Up to 10 Paid holidays

Medical, Dental, Vision plan

Employee Assistance Program

401 K Plan

DailyPay

SoFi at Work

Laptop and IT support

Verizon and Dell discounts

Pathways national discounts

Continuing Education Credits

Job summary

Pathways is seeking a Utilization Manager in Savannah, GA to coordinate Utilization Management for the agency and to train staff on essential documentation such as assessments, treatment planning, and progress notes. You will ensure compliance with guidelines and licensure while handling registrations, authorizations and discharge requests.

The role requires licensed credentials (LCSW, LPC, LMSW, or LAPC) and strong written and verbal communication skills, with opportunities to support audits

Qualifications

• Licensed as LCSW, LPC, LMSW, or LAPC.
• Ability to train others and communicate effectively in writing and speaking.
• Experience coordinating Utilization Management activities is a plus.

Responsibilities

• Coordinate Utilization Management functions for the agency.
• Train staff on proper documentation, including assessments, treatment planning, progress notes, transition/discharge plans.
• Provide feedback to staff to meet service guidelines and licensure requirements.
• Train staff on submission of Registration, Authorization and Discharge requests.
• Perform Utilization Management reviews and coordinate resolution of pended authorizations.
• Track service utilization and contractual compliance.
• Assist in coordinating external audits and implement corrective action plans.
• Complete regular testing of the electronic medical record functionality.

Skills

LCSW/LPC/LMSW/LAPC licensed

Utilization Management

Staff training

EMR testing

Tools

EMR systems

Job description

Pathways is seeking a Utilization Manager in Savannah, GA to coordinate Utilization Management for the agency and to train staff on essential documentation such as assessments, treatment planning, and progress notes. You will ensure compliance with guidelines and licensure while handling registrations, authorizations and discharge requests.

The role requires licensed credentials (LCSW, LPC, LMSW, or LAPC) and strong written and verbal communication skills, with opportunities to support audits