Utilization & Reimbursement Specialist

Acadia Healthcare; Henderson (NV); On-site; USD 45,000 - 65,000; Full time

Job summary

Acadia Healthcare is seeking a Clinical Liaison for Seven Hills Hospital in Henderson, NV. The role focuses on improving patient care by coordinating between managed care organizations and clinical staff. Essential functions include monitoring patient stay, conducting quality reviews, and supporting admission processes.

Qualifications entail a high school diploma, clinical experience, and preferred licensure in the state of practice. This role contributes significantly to ensuring quality care and optimizing operational reimbursement practices.

Qualifications

• Experience with the facility's population required.
• Previous experience in utilization management preferred.
• Licensure within the state required for certain roles.

Responsibilities

• Act as liaison between managed care organizations and facility staff.
• Conduct reviews per certification requirements.
• Monitor patient length of stay and quality of services.

Skills

Clinical experience

Communication

Organizational skills

Education

High school diploma or equivalent

Associate's, Bachelor's, or Master’s degree in Social Work or related field

Job description

Acadia Healthcare is seeking a Clinical Liaison for Seven Hills Hospital in Henderson, NV. The role focuses on improving patient care by coordinating between managed care organizations and clinical staff. Essential functions include monitoring patient stay, conducting quality reviews, and supporting admission processes.

Qualifications entail a high school diploma, clinical experience, and preferred licensure in the state of practice. This role contributes significantly to ensuring quality care and optimizing operational reimbursement practices.