Responsibilities
- Oversee utilization management activities for the organization
- Educate staff on proper documentation practices, including assessments, treatment plans, progress notes, and transition or discharge plans
- Advise staff on necessary adjustments to meet service guidelines, fidelity reviews, and licensing standards
- Instruct staff on correctly submitting registration, authorization, and discharge requests
- Conduct utilization management reviews, including monitoring on-hold reports, and facilitate resolution of pending authorizations
- Monitor service usage and adherence to contractual obligations
- Support the coordination of external audits
- Create and implement corrective action plans as needed
- Perform regular testing of electronic medical record system functionality
Requirements
- Licensed as LCSW, LPC, LMSW, or LAPC
- Strong verbal and written communication skills
- Ability to train others
Benefits
- Weekday office schedule from 8:30 AM to 5:00 PM
- Stability and growth opportunities with a national organization
- Paid vacation days that increase with length of service
- Separate sick leave that carries over each year
- Up to 10 paid holidays
- Medical, dental, and vision benefit plan options
- Employee Assistance Program
- Health, dependent, and transportation flexible spending accounts
- Basic and optional life insurance for employees, spouses, and dependents
- 401(k) plan
- Mileage and cell phone reimbursement or company phone
- Pet insurance
- DailyPay for access to earnings before payday
- SoFi at Work student loan refinancing
- Next Steps Financial Wellness program with webinars and tools
- Company laptop and strong IT support
- Verizon discount
- Dell discount
- Perks at Pathways national discounts on travel, shopping, and entertainment
- Training, development, and continuing education credits for licensure requirements
- Opportunities for advancement
Work Arrangement
On-site
Other
- Full Time Employees
- All Employees
- Benefit availability may vary by State/County
