Utilization Management

SUMMARY

Bear River Health (BRH) is a Private for Profit, Limited Liability Corporation (LLC) that serves people with primary substance use disorders and mental health issues in medically supervised detoxification, residential and outpatient treatment setting. Our services include variable length of stay residential treatment, sub-acute detoxification, outpatient substance abuse treatment that also includes drug testing, assessment for substance use disorders, intervention services, individual and group therapy, medical and medication management, psychiatric evaluations, individual and group therapy, Supported Sober Living (Transitional Living), educational lectures, patient education, physical evaluations, as well as many other services.

Our services are focused on providing the highest quality of care to people with substance use disorders. High quality is demonstrated by the services our employees provide and validated by our positive outcomes. It is our hope that you will feel proud working as a valued member of our team.

Our consumer’s needs are always our number one priority and we try to be responsive to the needs of our employees as well. There are many different job positions at (BRH) and every employee is a valued member of the team. We must all work together in a spirit of friendly cooperation and service.

As we strive for excellence in a team, we ask you to strive for excellence in your job. In return, you can expect a pleasant work environment, fair compensation and opportunities for personal growth and job satisfaction.

Function:

This position directly reports to the Revenue Recovery Director and under guidance of the CFO and in collaboration with the Outpatient Utilization Review staff to ensure all encounters are collected and billing within guidelines of State, Federal, and licensing guidelines to produce the “perfect bill”.

Responsibilities and Duties:

· Performs experience level secretarial tasks of a confidential nature including but not limited to producing letters, reports, memorandums, etc.

· Communicates in a positive and effective manner with staff, patients, clients, co-workers, parents and/or visitors.

· Answers the phone communications and record messages.

· Schedules appointments, maintains calendar, allocates supervisors time.

· Schedule meetings and reserve rooms for meetings.

· Distributes mail.

· Maintains files and financial records.

· Transcribes dictation.

· Maintains attendance reports, leave records, trip records and logs.

· Proof reads and edits.

· Maintains and processes forms

· Orders, distributes, and keeps inventory of supplies

· Other duties as assigned.

*The job duties listed above should not be construed as an exhaustive list of all job duties required. Other duties will be assigned as need arises and according to programmatic need.

Minimum Requirements: High School Graduate or equivalent

Strong candidates will demonstrate the following characteristics:

· Maintains a high level of confidentiality.

· Meet strict timeliness and perform multiple tasks.

· Communicate clearly and concisely in both written and oral form.

· Work independently and organize complex clerical tasks.

· Knowledge of business English, spelling, punctuation and grammar.

· Knowledge and proficiency and the use of technology (i.e. Computers, word processing, database a spreadsheet programs and PowerPoint.)

· Accomplishes work responsibilities with minimal supervision.

· Knowledge and ability of record keeping methods, keyboarding and preparation of correspondents.

· Knowledge of the functions of the various parts of the assigned department.

· Knowledge of alphanumeric filing systems, inventory control methods and methods commonly used in the training for acquiring clerical skills.

Job Type: Full-time

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• 10 hour shift
• 8 hour shift
• Day shift
• Evening shift
• Monday to Friday
• Weekends as needed

Experience:

• Utilization review: 1 year (Preferred)

License/Certification:

• RN (Preferred)

Ability to Commute:

• Boyne Falls, MI 49713 (Required)

Ability to Relocate:

• Boyne Falls, MI 49713: Relocate before starting work (Required)

Work Location: In person