ESSENTIAL FUNCTIONS:

Perform pre-certification and negotiate continued stay with third party payers. Gather data to support case management activities, including presentation of gathered data and case notes. Coordinate discharge planning with clinical team, maintain CRM database with discharge information and follow up. Present case information and the needs of third-party payers to (?). Assist in admissions review, concurrent reviews and discharge planning. Assist physician in peer review by serving as information resource, gather data to support review and schedule peer review. Informs management about the status of current patients; documents utilization activities as instructed. Participates in performance improvement activities.

OTHER FUNCTIONS:

Perform other functions and tasks as assigned.

EDUCATION/EXPERIENCE/SKILL REQUIREMENTS:

High school diploma or equivalent required. Bachelors or Master's decree preferred.

LICENSES/DESIGNATIONS/CERTIFICATIONS:

Current certification as Registered Addiction Specialist, certified Substance Abuse Counselor or similar certification preferred.