Job description
Life Center of Galax now has two locations (Galax and Hillsville). Life Center of Galax is opening a brand new ASAM 2.5 Partial Hospitalization Program location dedicated to helping individuals find purpose and develop the skills necessary to actualize long-term recovery from substance use disorders. We are looking for individuals who desire the opportunity to help save lives while feeling challenged and professionally enriched on a daily basis.
Proactively monitor utilization of services for patients to optimize reimbursement for the facility.
Excellent benefits package:
-Company matching 401k
-Blue Cross Blue Shield health insurance
-Delta Dental insurance
-NVA vision insurance
-Lincoln Financial disability and life insurance
-Paid vacation, sick, and extended sick time
ESSENTIAL FUNCTIONS:
- Act as liaison between managed care organizations and the facility professional clinical staff.
- Conduct reviews, in accordance with certification requirements, of insurance plans or other managed care organizations (MCOs) and coordinate the flow of communication concerning reimbursement requirements.
- Monitor patient length of stay and extensions and inform clinical and medical staff on issues that may impact length of stay.
- Gather and develop statistical and narrative information to report on utilization, non-certified days (including identified causes and appeal information), discharges and quality of services, as required by the facility leadership or corporate office.
- Conduct quality reviews for medical necessity and services provided.
EDUCATION/EXPERIENCE/SKILL REQUIREMENTS:
- Two or more years' experience with the population of the facility and previous experience in utilization management preferred.
Job Types: Full-time, Part-time
Pay: From $18.00 per hour
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Disability insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Schedule:
- 8 hour shift
- Monday to Friday
Ability to commute/relocate:
- Hillsville, VA 24343: Reliably commute or planning to relocate before starting work (Required)
Experience:
- Medical records: 1 year (Preferred)
Work Location: One location
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