We offer a full suite of benefits ranging from:

· Competitive hourly rates

· Medical, Dental, and Vision Insurance

· Paid Holidays

· Paid Time Off

· HSA & FSA

· Company Paid Basic Life & AD&D

· Disability

· 401(k) Retirement Plan - with company match

· Employee Assistance Program/Employee Discount Program

ESSENTIAL FUNCTIONS:

Act as liaison between managed care organizations and the facility professional clinical staff. Conduct reviews, in accordance with certification requirements, of insurance plans or other managed care organizations (MCOs) and coordinate the flow of communication concerning reimbursement requirements. Monitor patient length of stay and extensions and inform clinical and medical staff on issues that may impact length of stay. Gather and develop statistical and narrative information to report on utilization, non-certified days (including identified causes and appeal information), discharges and quality of services, as required by the facility leadership or corporate office. Conduct quality reviews for medical necessity and services provided.

EDUCATION/EXPERIENCE/SKILL REQUIREMENTS:

Associate's degree in nursing (LPN or RN) required. Bachelor's or Master’s degree in social work, behavioral or mental health, nursing or other related health field preferred. Two or more years' experience with the population of the facility and previous experience in utilization management preferred.