What are the responsibilities and job description for the Utilization Review Assistant (PRN Weekends) position at Crestwyn Behavioral Health?
Essential Functions
- Perform pre-certification and negotiate continued stay with third party payers.
- Gather data to support case management activities, including presentation of gathered data and case notes.
- Coordinate discharge planning with clinical team, maintain CRM database with discharge information and follow up.
- Present case information and the needs of third-party payers to (?).
- Assist in admissions review, concurrent reviews and discharge planning.
- Assist physician in peer review by serving as information resource, gather data to support review and schedule peer review.
- Informs management about the status of current patients; documents utilization activities as instructed. Participates in performance improvement activities.
- Perform other functions and tasks as assigned.
- High school diploma or equivalent required.
- Bachelors or Master's decree preferred.
- Current certification as Registered Addiction Specialist, certified Substance Abuse Counselor or similar certification preferred.
