Case Manager / UR Specialist- Outpatient

Job Description

Job Description

Job description

Join Aurora Behavioral Health System, West and become a part of the the state's largest free-standing behavioral health system. Our Level 1, acute care hospital, located in Glendale, Arizona, is licensed to treat adults and adolescents for a wide range of psychiatric conditions and chemical dependency. Our team is dedicated to the wellness of individuals, their families and the community through prevention, intervention and treatment. We are currently hiring for a Case Manager that has strong experience in utilization review in an outpatient setting.

DESCRIPTION : To provide quality case management, utilization review and care coordination services to all psychiatric and dual diagnosis patient populations, their families and significant others in support of the hospital's comprehensive approach to patient care in Outpatient. The Case Manager serves as a member of the interdisciplinary team supporting the organization's treatment program and philosophy to deliver quality treatment to adolescent and adult psychiatric and dual diagnosis patients and their families.

The Case Manager will improve patient outcomes and close gaps in care by providing post discharge follow up with patients. Case Manager will conduct initial, concurrent and discharge review with payers and effectively act as a liaison between insurance providers and the clinical team.

INDLOW

REQUIREMENTS :

• Utilization review in Outpatient or Inpatient : 2 years of experience (Required)
• Case management : 1 year (Required)
• Experience in a psychiatric setting and knowledge of health care service delivery systems and third-party reimbursement.
• Excellent verbal and written communication skills.
• Knowledge of managed care environment; ability to apply and interpret admission and continued stay criteria.
• Understanding of admission and discharge function; familiarity with medical terminology, diagnostic terms and treatment modalities.
• Knowledge of medical record keeping; strong interpersonal, organizational, evaluative, and time management skills.
• Policy interpretation skills; familiarity with applicable standards and regulations; flexibility; attention to detail; able to comprehend psychiatric evaluations, consults, lab results, etc.
• Responsiveness to deadlines; assertiveness, persistence, and persuasiveness; able to work with minimal direction or supervision.
• Required : Bachelor degree
• One year minimum work experience in a behavioral health setting.
• Must be 21 years of age or older.
• Able to pass a background check, drug screen and eligible for a finger print clearance card.

We offer competitive compensation and benefits. ABHS is an Equal Opportunity Employer.

Job Type : Full-time

Benefits :

401(k)

Dental insurance

Disability insurance

Employee assistance program

Flexible spending account

Health insurance

Life insurance

Paid time off

Retirement plan

Vision insurance

Schedule :

8 hour shift

Monday to Friday

Education :

Bachelor's (Required)

Work Location : In person

Must be able to pass a drug screen and physical

Must be eligible for a fingerprint clearance card