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Centerstone
Fort Myers, Florida; FL - 4350 Fowler St Unit 15 Ft Myers - 36004
Source: Centerstone careers · View original posting
From Centerstone's posting. “We” and “our” refer to the employer.
Centerstone is among the nation’s leading nonprofit behavioral health systems with thousands of employees dedicated to delivering care that changes people’s lives. A dynamic, well-established organization, we offer rewarding opportunities to serve all ages in a variety of settings. Come talk to us about joining the Centerstone team!
SUMMARY OF POSITION
Knowledge of utilization review process with the ability to review continued length of stay, assure appropriate allocation of facility resources by striving to provide quality client care in the most cost-effective manner. Monitor chart quality of representative sample of Crisis Stabilization Unit charts.
ESSENTIAL DUTIES & RESPONSIBILITIES
Reports to work as scheduled on a daily basis and performs assigned duties to ensure the smooth operation of the department.
Supervises team of UR Specialist and Case Managers.
Able to work within an Electronic Medical Record (recording UR interactions in charts).
Able to work in a high paced atmosphere managing multiple cases at a time.
Performs utilization and financial case management duties.
Maintains a clear description of methodology used in conducting utilization review/financial case management role.
Assures proper information is relayed to third party provider in timely fashion.
Assures continued need for stay is documented.
Meets appropriate deadlines for certification and recertification.
Documents activities for later review.
Assures appropriate consents are signed for information release and maintains confidentiality policies.
Makes Clinical Director aware of client/payer issues.
Communicates effectively with treatment team including psychiatrist to ensure appropriate length of stay.
Trains Case Managers
Function as team leader for other UR positions, giving guidance and training.
Coordinate flow of information between UR, units, and fiscal staff.
KNOWLEDGE, SKILLS & ABILITIES
Effectively communicate via written, verbal, in person and virtual methods.
Organized, dependable, able to articulate needs of the client.
Experience with MS software and other computer software.
Ability to lead and be a team player.
Disciplined, organized, good communication skills, and calm in a crisis.
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