Utilization Management-Financial Counselor Position Available In Knox, Tennessee
Tallo's Job Summary: The Utilization Management-Financial Counselor position at Knoxville Center for Behavioral Medicine in Knoxville, TN involves providing administrative support to the Utilization department. The role requires a Bachelor's degree in nursing or a related field, with 2+ years of experience in Behavioral Health. Responsibilities include pre-certification, negotiation with third-party payers, and supporting case management activities. Current certification as a Registered Addiction Specialist or similar is preferred.
Job Description
Utilization Management-Financial Counselor 2.4 2.4 out of 5 stars Knoxville, TN 37909 UM Coordinator-Financial Counselor Knoxville Center for Behavioral Medicine – a comprehensive inpatient behavioral health facility. Our center will provide acute behavioral health care and outpatient treatment to adults and geriatric adults who are in crisis from severe symptoms related to behavioral health and/or substance use disorder.
DEPARTMENT
Utilization Management
GENERAL DESCRIPTION
Provide administrative support to the Utilization department.
MINIMUM EDUCATION/EXPERIENCE/SKILLS
Bachelor’s Degree in nursing or Other Clinical degree preferred, High school diploma required with 2 + years of experience in the Behavioral Health Field.
ESSENTIAL FUNCTIONS
Are determined by the facility and may include, but are not limited to the following: Perform pre-certification and negotiate continued stay with third party payers in a professional manner. Gather data to support case management activities, including presentation of gathered data and case notes. Verbally present knowledge of cases and the needs of third party payers in a timely manner. Assist in admissions review, concurrent reviews and discharge planning. Assist physician in peer review by serving as information resource, gathering data to support review and schedule peer review. Keep leadership advised of status of current person(s) receiving services, in regard to utilization activities through timely documentation and participate in performance improvement activities. Coordinate with clinical team for discharge planning, maintain CRM database with discharge information and follow up.
OTHER FUNCTIONS
Performs other functions and tasks as assigned.
EDUCATION/EXPERIENCE/SKILL REQUIREMENTS
High school diploma or equivalent required.
LICENSES/DESIGNATIONS/CERTIFICATIONS
Current certification as Registered Addiction Specialist, certified Substance Abuse Counselor or similar certification preferred.
ADDITIONAL REGULATORY REQUIREMENTS
While this job description is intended to be an accurate reflection of the requirements of the job, management reserves the right to add or remove duties from particular jobs when circumstances (e.g. emergencies, changes in workload, rush jobs or technological developments) dictate.
Communication:
Uses language that is easily understood and appropriate for the specific situation. Skills Preferred Training – Health Information Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.
