Utilization Coordinator, Residential Rehabilitation- Gaithersburg, MD
Utilization Coordinator, Residential Rehabilitation- Gaithersburg, MD
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Salary Not Disclosed
1 Vacancy
Job Description
What to expect.
This is a direct care opportunity to assist individuals who receive mental health services in supporting utilization & authorization activities for Gaithersburg Residential Rehabilitation Programs. You will track authorizations and plan due dates maintain spreadsheets send out clinical requests for new authorizations maintain and send monthly reports to other staff members and track and review the progress of clients.
Additional responsibilities will include:
- Set up meetings with clients and their teams to complete all plans as they are due
- Input update staff members and submit progress paragraphs for clients for approval
- Obtain authorization for services for all clients within the program through the Provider Connect system of Value Options
- Work in Evolv and Provider Connect systems to enter approved authorizations research and correct claim errors discharge clients and update client information
- Update and maintain accurate billing tracking
- Ensure compliance with all regulations and standards of COMAR CMS and CARF through planning and documentation of services
- Track and inform supervisor of authorization and funding issues
What youll get from us.
At Sheppard Pratt you will work alongside a multidisciplined team led by a bold vision to change lives. We offer:
- A commitment to professional development including a comprehensive tuition reimbursement program to support ongoing education and licensure and/or certification preparation
- Comprehensive medical dental and vision benefits for benefit eligible positions
- 403b retirement match
- Generous paidtimeoff for benefit eligible positions
- Complimentary Employee Assistance Program (EAP)
- Generous mileage reimbursement program
What we need from you.
- Bachelors degree in psychology psychiatric rehabilitation or related field required.
- Minimum of two years experience working in psychiatric rehabilitation required.
- CPRP required within one year of beginning position. Must have excellent writing skills problem solving skills (figuring out auth issues) is recovery oriented and understands strengthbased plans.
- Knowledge of COMAR CMS CARF and COMCOR regulations.
- Knowledge of Recovery Model and EvidenceBased Practices in psychiatric rehabilitation.
WHY SHEPPARD PRATT
At Sheppard Pratt we are more than just a workplace. We are a community of healthcare professionals who are dedicated to providing hope and healing to individuals facing lifes challenges. Join us and be a part of a mission that changes lives!
Required Experience:
IC
Employment Type
Full-Time
