UntitledTeen Challenge Training Center, Inc., Rehrersburg, PA has a full-time job opening with benefits for a Utilization Review Specialist
Pennsylvania Adult and Teen Challenge, Rehrersburg is a Christian ministry that offers three levels of care for adult males who are addicted to drugs and alcohol. The foundation of our organization rests on our successful long term Christian discipleship rehabilitation program. We have recently opened both a state licensed short term treatment program, and a new state licensed non hospital detox program.
The UR specialist will be responsible for:
Complying with the UR Plan to meet CARF and SCA standards and standards and requirements of pre-certification review agencies.
Assists in reviewing admission appropriateness, continued stays and completing UR reports and files for SCA clients.
Informs Admissions Coordinator of questionable admissions and inappropriate continued stays and takes appropriate action as directed.
Informs Admissions Coordinator and Department Heads of charting deficiencies and instructs appropriate staff on deficiencies as necessary.
Records factual information provided by conversations with review organization and number of days certified. Reports the same to Admissions Coordinator and facility Business Office as necessary.
Participates in the formal appeal process for patients denied admission or continued stay with all PA County Case Management Offices.
Initiates and provides continued dialogue on a timely basis with County Case Management Officer for patients with health benefits requiring pre-admission/continued stay certification.
Assists in serving as the educator and liaison regarding County patients and pre-certification process for UR committee and staff.
Attends clinical staffing, assists in interpretation of continued stay criteria, and provides any specific criteria required by counties to aid in access of counties additional treatment days.
Completes weekly discharge report to be reviewed by Admissions Coordinator and distributed to the Executive Director.
Assists in the daily UR reporting system to clinicians and county SCAs.Job Requirements
Skills required for the position:
Bachelor's Degree preferred (behavioral health /social service related preferred).
Strong computer skills including the Microsoft Office suite.
Strong administrative skills.
Ability to remain on task and follow through on multiple concurrent assignments with frequent interruptions.
Must demonstrate competency in experience in the UR process.
3 or more years' experience in admissions and approval process preferred
Must maintain a sober lifestyle in accordance with organization policy
Please submit resumes to: firstname.lastname@example.org
Teen Challenge Training Center is an "equal opportunity employer" and does not discriminate against any employee or applicant on the bases of race, color, sex, age, national origin, religion, sexual orientation, status as a veteran, and basis of disability or any other federal, state or local protected class.
Teen Challenge Training Center is a parachurch organization, meaning we are supported by the church. Our mission is Christian in nature and we work closely with churches from a variety of denominations. The organization recognizes that employees may hold a wide range of personal beliefs, values and commitments.