Job Description
Description
Utilization Manager
LCSW, LPC, LMSW, LAPC
As our Utilization Manager, you will coordinate Utilization Management functions for the agency.
- Trains staff on proper documentation, including assessments, treatment planning, progress notes, transition/discharge plans
- Provides feedback to staff regarding changes needed in order to meet service guidelines, fidelity review, and licensure requirements
- Trains staff on proper submission of Registration, Authorization and Discharge requests
- Performs Utilization Management reviews, to include On Hold reports, and coordinates resolution of pended authorizations
- Tracks utilization of services and compliance with contractual requirements
- Assists in the coordination of external audits
- Develops and implements any corrective action plans needed
- Completes regular testing of the electronic medical record functionality
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