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Utilization Management Specialist
Working onsite at our Cambridge City, IN treatment facility
*working collaboratively with the treatment team and health plans to obtain authorization for treatment
We offer competitive salary, full benefits package, Paid Time Off, and opportunities for professional growth.
Pinnacle Treatment Centers is a growing leader in addiction treatment services. We provide care across the nation touching the lives of more than 30,000 patients daily.
Our mission is to remove all barriers to recovery and transform individuals, families, and communities with treatment that works.
Our employees believe we are creating a better world where lives and communities are made whole again through comprehensive treatment.
As a Utilization Management Specialist II, you will need to exhibit excellent communication and documentation skills and work closely with insurers, accrediting bodies, and other healthcare providers. Clinical expertise regarding patient level of care needs is provided to other staff in consultation to ensure proper care in the right amount, scope, and duration. This includes providing utilization review and management (including screening, referral, and information) for mental health and substance abuse services, as well as performing the identification, analysis, and resolution of resource utilization outliers consistent with established protocols, policies, and procedures. As a member of the Utilization Management Team, the Utilization Management Specialist II impacts the delivery of care at the system level through direct utilization management, feedback of performance data, training, and supported consultation. This position provides telephone triage support for the Admissions Department and reviews clinical and financial information to determine eligibility for the appropriate level of care for consumers.
Requirements:
Responsibilities:
Benefits:
Join our team. Join our mission.
Full Time
$63k-84k (estimate)
03/28/2024
05/26/2024