Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ... Associate's, Bachelor's, or Master's degree in Social Work, Behavioral or Mental Health, Nursing ...
Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ... Associate's, Bachelor's, or Master's degree in Social Work, Behavioral or Mental Health, Nursing ...
Utilization Specialist
Henderson, NV · On-site
Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ... Associate's, Bachelor's, or Master's degree in Social Work, Behavioral or Mental Health, Nursing ...
Utilization Specialist
Henderson, NV · On-site
Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ... Associate's, Bachelor's, or Master's degree in Social Work, Behavioral or Mental Health, Nursing ...
STAFF 2, ASSOCIATE ENGINEER - UNDERFILL
Carson City, NV · On-site
$70K - $104K/yr
Incumbent will review and comment on traffic impact studies for developments in District 2; assist in the determination of required design; and recommend mitigations for access into NDOT right-of-way.
STAFF 2, ASSOCIATE ENGINEER - UNDERFILL
Carson City, NV · On-site
$70K - $104K/yr
Incumbent will review and comment on traffic impact studies for developments in District 2; assist in the determination of required design; and recommend mitigations for access into NDOT right-of-way.
Associate Attorney
Las Vegas, NV · On-site
Description Hooks, Meng & Clement (HMC) is seeking an Associate Attorney to join our growing Las ... review, and revise legal documents, including pleadings, motions, and briefs, with precision and ...
Associate Attorney
Las Vegas, NV · On-site
Description Hooks, Meng & Clement (HMC) is seeking an Associate Attorney to join our growing Las ... review, and revise legal documents, including pleadings, motions, and briefs, with precision and ...
2027 Summer Associate
Las Vegas, NV · On-site
The goal of our Associate program is to acquaint our Associates with the Firm and its practice and ... Review status of employment law developments and prepare summaries and articles related to new ...
2027 Summer Associate
Las Vegas, NV · On-site
The goal of our Associate program is to acquaint our Associates with the Firm and its practice and ... Review status of employment law developments and prepare summaries and articles related to new ...
Associate Attorney
Las Vegas, NV · On-site
$150K - $175K/yr
Medical
Dental
Vision
Life
Retirement
PTO
Associate Attorney - Las Vegas Metropolitan Area About the job Associate Attorney - NV About TALG ... Draft, review and file legal pleadings, motions, discovery, etc. * Review case files and pleadings ...
Associate Attorney
Las Vegas, NV · On-site
$150K - $175K/yr
Medical
Dental
Vision
Life
Retirement
PTO
Associate Attorney - Las Vegas Metropolitan Area About the job Associate Attorney - NV About TALG ... Draft, review and file legal pleadings, motions, discovery, etc. * Review case files and pleadings ...
STAFF 2, ASSOCIATE ENGINEER
Carson City, NV · On-site
$70K - $104K/yr
Associate Engineers are distinguished from Engineering Technicians by greater latitude in the ... Review applications, oversee inspections, and recommend appropriate enforcement action for ...
STAFF 2, ASSOCIATE ENGINEER
Carson City, NV · On-site
$70K - $104K/yr
Associate Engineers are distinguished from Engineering Technicians by greater latitude in the ... Review applications, oversee inspections, and recommend appropriate enforcement action for ...
The goal of our Associate program is to acquaint our Associates with the Firm and its practice and ... Review status of employment law developments and prepare summaries and articles related to new ...
The goal of our Associate program is to acquaint our Associates with the Firm and its practice and ... Review status of employment law developments and prepare summaries and articles related to new ...
Utilization Specialist
Henderson, NV · On-site
Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ... Associate's, Bachelor's, or Master's degree in Social Work, Behavioral or Mental Health, Nursing ...
Utilization Specialist
Henderson, NV · On-site
Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ... Associate's, Bachelor's, or Master's degree in Social Work, Behavioral or Mental Health, Nursing ...
Utilization Specialist
Henderson, NV · On-site
Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ... Associate's, Bachelor's, or Master's degree in Social Work, Behavioral or Mental Health, Nursing ...
Utilization Specialist
Henderson, NV · On-site
Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ... Associate's, Bachelor's, or Master's degree in Social Work, Behavioral or Mental Health, Nursing ...
Utilization Specialist
Henderson, NV · On-site
Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ... Associate's, Bachelor's, or Master's degree in Social Work, Behavioral or Mental Health, Nursing ...
Utilization Specialist
Henderson, NV · On-site
Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ... Associate's, Bachelor's, or Master's degree in Social Work, Behavioral or Mental Health, Nursing ...
Utilization Specialist
Henderson, NV · On-site
Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ... Associate's, Bachelor's, or Master's degree in Social Work, Behavioral or Mental Health, Nursing ...
Utilization Specialist
Henderson, NV · On-site
Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ... Associate's, Bachelor's, or Master's degree in Social Work, Behavioral or Mental Health, Nursing ...
Warehouse Associate
Las Vegas, NV · On-site
$15.50 - $18.25/hr
Warehouse Associate The Warehouse Associate is primarily responsible for sorting and selecting ... Review customer orders to determine items to be selected * Assemble customer orders from stock ...
Warehouse Associate
Las Vegas, NV · On-site
$15.50 - $18.25/hr
Warehouse Associate The Warehouse Associate is primarily responsible for sorting and selecting ... Review customer orders to determine items to be selected * Assemble customer orders from stock ...
STAFF 1 ASSOCIATE ENGINEER -UNDERFILL
Carson City, NV · Hybrid
$64K - $95K/yr
... Associate Engineer In Carson City, NV ... The incumbent performs reviews of plans, specifications, and special provisions for accuracy ...
STAFF 1 ASSOCIATE ENGINEER -UNDERFILL
Carson City, NV · Hybrid
$64K - $95K/yr
... Associate Engineer In Carson City, NV ... The incumbent performs reviews of plans, specifications, and special provisions for accuracy ...
Warehouse Associate Lead (McCarran NV)
Reno, NV · On-site
$24.50/hr
Medical
Dental
Vision
Retirement
PTO
Please review the description below carefully to ensure that this position is the perfect match for ... Associate Discounts and Community Giveback Programs * College Tuition Savings Program * Caring ...
Warehouse Associate Lead (McCarran NV)
Reno, NV · On-site
$24.50/hr
Medical
Dental
Vision
Retirement
PTO
Please review the description below carefully to ensure that this position is the perfect match for ... Associate Discounts and Community Giveback Programs * College Tuition Savings Program * Caring ...
Outside Services Associate
Reno, NV · On-site
$59K - $77K/yr
Key Responsibilities of the Outside Services Associate: * Assists with the overall upkeep of Great ... For further information, please review the Know Your Rights notice from the Department of Labor.
Outside Services Associate
Reno, NV · On-site
$59K - $77K/yr
Key Responsibilities of the Outside Services Associate: * Assists with the overall upkeep of Great ... For further information, please review the Know Your Rights notice from the Department of Labor.
The Associate Counsel participates in the jurisdictional review of incoming cases, leads the investigation of ethics complaints, and prepares legal recommendations to Commission Review Panels at the ...
The Associate Counsel participates in the jurisdictional review of incoming cases, leads the investigation of ethics complaints, and prepares legal recommendations to Commission Review Panels at the ...
Associate Attorney
Las Vegas, NV · On-site
$100K/yr
Hooks, Meng & Clement (HMC) is seeking an Associate Attorney to join our growing Las Vegas office ... Draft, review, and revise legal documents, including pleadings, motions, and briefs, with precision ...
Quick apply
Associate Attorney
Las Vegas, NV · On-site
$100K/yr
Hooks, Meng & Clement (HMC) is seeking an Associate Attorney to join our growing Las Vegas office ... Draft, review, and revise legal documents, including pleadings, motions, and briefs, with precision ...
Warehouse Associate Lead (McCarran NV)
Reno, NV · On-site
$24.50/hr
Medical
Dental
Vision
Retirement
PTO
Please review the description below carefully to ensure that this position is the perfect match for ... Associate Discounts and Community Giveback Programs * College Tuition Savings Program * Caring ...
Warehouse Associate Lead (McCarran NV)
Reno, NV · On-site
$24.50/hr
Medical
Dental
Vision
Retirement
PTO
Please review the description below carefully to ensure that this position is the perfect match for ... Associate Discounts and Community Giveback Programs * College Tuition Savings Program * Caring ...
Warehouse Associate Lead (McCarran NV)
Reno, NV · On-site
$24.50/hr
Medical
Dental
Vision
Retirement
PTO
Please review the description below carefully to ensure that this position is the perfect match for ... Associate Discounts and Community Giveback Programs * College Tuition Savings Program * Caring ...
Warehouse Associate Lead (McCarran NV)
Reno, NV · On-site
$24.50/hr
Medical
Dental
Vision
Retirement
PTO
Please review the description below carefully to ensure that this position is the perfect match for ... Associate Discounts and Community Giveback Programs * College Tuition Savings Program * Caring ...
Review Associate information
What is a review associate?
What are the key skills and qualifications needed to thrive as a review associate, and why are they important?
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Acadia Healthcare rating
6.2
Based on 190 frontline employees who took The Breakroom Quiz
699th of 888 rated healthcare providers
Job description
PURPOSE STATEMENT:
Proactively monitor utilization of services for patients to optimize reimbursement for the facility.
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.
- Facilitate peer review calls between facility and external organizations.
- Initiate and complete the formal appeal process for denied admissions or continued stay.
- Assist the admissions department with pre-certifications of care.
- Provide ongoing support and training for staff on documentation or charting requirements, continued stay criteria and medical necessity updates.
OTHER FUNCTIONS:
- Perform other functions and tasks as assigned.
EDUCATION/EXPERIENCE/SKILL REQUIREMENTS:
- Required Education: High school diploma or equivalent.
- Preferred Education: Associate's, Bachelor's, or Master’s degree in Social Work, Behavioral or Mental Health, Nursing, or a related health field.
- Experience: Clinical experience is required, or two or more years' experience working with the facility's population. Previous experience in utilization management is preferred
LICENSES/DESIGNATIONS/CERTIFICATIONS:
- Preferred Licensure: LPN, RN, LMSW, LCSW, LPC, LPC-I within the state where the facility provides services; or current clinical professional license or certification, as required, within the state where the facility provides services.
- CPR and de-escalation and restraint certification required (training available upon hire and offered by facility.
- First aid may be required based on state or facility requirements.
ADDITIONAL REGULATORY REQUIREMENTS:
While this job description is intended to be an accurate reflection of the requirements of the job, management reserves the right to add or remove duties from particular jobs when circumstances
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About Acadia Healthcare
Sourced by ZipRecruiter
Acadia Healthcare is a leading provider in the healthcare and hospital industry, based in Franklin, Tennessee, United States. The company is recognised for its commitment to creating a behavioural health network that provides accessible, high-quality treatment options for individuals suffering from mental health issues, addiction, eating disorders, and PTSD. Acadia Healthcare was founded in 2005, with the mission to create a world-class organization that sets the standard of excellence in the treatment of specialty behavioural health and addiction disorders.
Industry
Hospitals
Company size
10,000+ Employees
Headquarters location
Franklin, TN, US
Year founded
2005