Case Management Coordinator - Utilization Review Specialist - Acadia Healthcare : Job Details

MeadowWood Behavioral Health System, located in New Castle, Delaware, is a 120-bed psychiatric and addiction treatment facility located on 11 private acres. We are a top provider for adolescent, adult, and geriatric mental health and substance abuse treatment services in the area. As a psychiatric and addiction detox treatment facility, we offer a safe and comfortable environment where patients can leave the stress of the outside world behind and focus completely on their recovery. MeadowWood is seeking an individual who will assess, plan, implement, coordinate, monitor and evaluate services to meet an individual's needs during treatment at our hospital. This person will be responsible for coordinating with the insurance department and obtaining authorization and re-authorization for services.

Education: Must have a Bachelors degree; Masters degree

Assure residents meet criteria for admission, and review initial clinical information through discharge.

Monitor and manage client/patient/resident's cases through development and implementation of individual care plans, collecting clinical data and remain informed by continuous review of documentation.

Coordinate care by tracking, monitoring, and reporting on inpatient or outpatient care.

Manage client/patient/resident's cases with knowledge and expertise with the patient population of the facility.

Convey medical criteria and clinical information between the client/patient/residents' insurance provider and treatment team as warranted and may also provide this information to the business office, as needed.

Conduct precertification with third party payers and negotiate approved days with the provider for the patient/resident admission.

Assigned tasks for admission review, concurrent review and participate in discharge planning.

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities 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.