BH Quality Assurance/Utilization ManagerJob Title: BH Quality Assurance/Utilization Manager
Department: Thurmond Tanner
Open to All Qualified Applicants:
Performs service access and continued stay authorization reviews. Under general to limited supervision, the Utilization Manager establishes and evaluates the medical necessity, appropriateness and effectiveness of services provided for the purpose of maintaining quality care through judicious use of resources. Performs service eligibility authorization review, quality assurance and billing reviews. Provides reports for internal/external use for performance evaluation and improvement. Interprets National and State standards relevant to Avita policies, procedures, standards, and guidelines on corporate compliance, utilization management and quality assurance.
Applicant must be fully licensed as a LPC, LCSW or LMFT in the state of Georgia.
*Full Licensure as a LCSW or LPC in Georgia
Salary is dependent on type of licensure and length of licensure
LPC/LMFT - Licensure with less than one year of post licensure experience - 40,000
- Licensure with one year of post licensure experience - 42,000
- Licensure with three or more years of post licensure - 45,000
LCSW - Licensure with less than one year of post licensure experience - 42,000
- Licensure with one year of post licensure experience - 44,000
- Licensure with three years of post licensure experience - 47,000
Preferred applicant will have professional experience in Behavioral Health Care utilization management/utilization review and/or quality assurance, and experience using computer applications such as word processing, electronic health records, spreadsheets, and other database management software.
The selected candidate will be subject to a FBI Criminal History Record Check. Applicants reserve the right to challenge the contents of a FBI Criminal History Record Check.
Avita Community Partners is an Equal Opportunity Employer and does not discriminate in its service practices or employment practices with regard to race color, religion, disability, gender, sexual orientation, age, or national origin.
This is a full time position and is subject to company benefits.
Position Reference #: 193579
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