Find & Apply For Clinical Auditor / Utilization Reviewer Jobs in Augusta, Georgia

Utilization Review Coordinator (MA/MSW) Lighthouse Care Center of Augusta - 2.3 Augusta, GA Job Details Full-time 1 day ago Benefits Health insurance Dental insurance 401(k) Flexible spending account Tuition reimbursement Paid time off Employee assistance program Vision insurance 401(k) matching Employee discount Life insurance Referral program Qualifications Behavioral health hospital experience Master of Social Work Mental health and behavioral care RN License Sociology Master's degree Social Sciences Mental health facility experience Utilization management Psychology Psychiatric facility experience Social Work Healthcare treatment Experience working with individuals with substance use disorders Full Job Description Lighthouse Care Center of Augusta (LCCA) is a multi-discipline behavioral healthcare center that offers mental health services to the communities of surrounding Augusta, Georgia. The Lighthouse Care Center of Augusta is an acute and residential treatment facility providing balanced, top-notch clinical care to children, adolescents and young adults. We provide a carefully-structured and supportive environment, and our education program is accredited through the Georgia Accrediting Commission.

Much more available online at:

https://lighthousecarecenters.com/ LCCA is recruiting for a marvelous Utilization Review Coordinator . Under the direction of the CFO and Director of Utilization will review clinical content of medical records, participate in treatment team meetings, collaborate with physicians, therapist, nurses and pertinent staff on gathering the necessary data to communicate with insurance companies/authorizing entities to ensure initial precertification and continued authorization is achieved. Utilization Review Coordinator will ensure input of pre-certifications and continued stay reviews into Midas, follow-up on unfinished pre-certifications from the day before, coordinate with the treatment team on any follow-ups necessary, verify insurance coverage at the first of the month, and post patient payments into MS4 will be trained in all aspects relative to timely gathering clinical criteria, communication of clinical criteria, and entry of supporting clinical criteria into computer based systems, in addition to other job duties.

EDUCATION AND EXPERIENCE

Masters level education in social science field (social work, counseling, sociology, psychology). Must be license-eligible. Nurses with a current GA or Multistate RN license encouraged to apply. Must have 2 years of experience in a psychiatric health care setting, delivery of care to psychiatric and/or chemically dependent patients and utilization review.

Job Type:

Full-time Benefits:

401(k) 401(k) matching Dental insurance Employee assistance program Employee discount Flexible spending account Health insurance Life insurance Paid time off Referral program Tuition reimbursement Vision insurance

Education:

Master's (Required) Ability to

Commute:

Augusta, GA 30909 (Required) Ability to

Relocate:

Augusta, GA 30909: Relocate before starting work (Required)

Work Location:

In person