Utilization Review Coordinator jobs in Aiken, SC

Lighthouse Care Center of Augusta (LCCA) is a multi-discipline behavioral healthcare center that offers mental health services to the communities of surrounding Augusta, Georgia. The Lighthouse Care Center of Augusta is an acute and residential treatment facility providing balanced, top-notch clinical care to children, adolescents and young adults. We provide a carefully-structured and supportive environment, and our education program is accredited through the Georgia Accrediting Commission.

Much more available online at: https://lighthousecarecenters.com/

LCCA is recruiting for a marvelous Utilization Review/ Business Office Coordinator. Under the direction of the CFO and UR Manager, the Utilization Review/Business Office Coordinator will

• review clinical content of medical records,
• participate in treatment team meetings,
• collaborate with physicians, therapist, nurses and pertinent staff on gathering the necessary data to communicate with insurance companies/authorizing entities to ensure initial precertification and continued authorization is achieved.
• Utilization Review/Business Office Coordinator will ensure input of pre-certifications and continued stay reviews into Midas,
• follow-up on unfinished pre-certifications from the day before,
• coordinate with the treatment team on any follow-ups necessary,
• verify insurance coverage at the first of the month, and post patient payments into MS4
• will be trained in all aspects relative to timely gathering clinical criteria, communication of clinical criteria, and entry of supporting clinical criteria into computer based systems, in addition to other job duties.

EDUCATION AND EXPERIENCE

Masters level education in social science field (social work, counseling, sociology, psychology). Must be license-eligible.

Nurses with a current GA or Multistate RN license encouraged to apply. Must have 2 years of experience in a psychiatric health care setting, delivery of care to psychiatric and/or chemically dependent patients and utilization review.

Job Type: Full-time

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Employee discount
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Referral program
• Tuition reimbursement
• Vision insurance

Schedule:

• Monday to Friday

Education:

• Master's (Preferred)

Experience:

• Utilization review: 1 year (Preferred)

License/Certification:

• RN (Preferred)

Work Location: In person