Top 28 Clinical documentation & utilization review Jobs in Reading, Pa

Admissions Counselor
Tower Behavioral Health —Reading, PA
- Night shift
- CPR Certification
- Nursing
- BLS Certification
5d
Care Management Nurse
Wellspan Health —Ephrata, PA
- Part-time
- Acute care
- Nursing
- RN License
- Paid parental leave
- Health insurance
14d
Compliance Packaging Coordinator
Cencora —Reading, PA
- Full-time
- Hybrid work
- Writing skills
- Mid-level
- Analysis skills
- Paid parental leave
- Health insurance
Point of Care Coordinator - UPMC Lititz
UPMC —Lititz, PA
- $31.49 - $49.20 an hour
- Part-time
- Hospital
- Bachelor of Science
- Mid-level
Supervisory Medical Supply Technician (Sterile Processing)-Chief
US Veterans Health Administration —Lebanon, PA
- $99,876 - $129,831 a year
- Online Application
- Background check
- Surgery
- Inventory management
- Paid parental leave
- Paid holidays
Registered Nurse (RN)
Ramp Health —Reading, PA
- Email
- Background check
- CPR Certification
- RN License
Quick Apply
Admissions Specialist
Caron Treatment Centers —Wernersville, PA
- From $23 an hour
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Sales
- Disability insurance
- Health insurance
Quick Apply
Social Worker Ambulatory Care Manager (Full Time/Days)
Penn Medicine —Parkesburg, PA
- Full-time
- Microsoft Word
- Spanish
- Master of Social Work
- Tuition reimbursement
Quick Apply
Supervisor - Home Health (Ephrata) - Weekends (full-time)
Wellspan Health —Stevens, PA
- Weekends as needed
- Nursing
- RN License
- Writing skills
- Paid parental leave
- Paid time off
Manager Operations - 2nd Shift
Sharp Clinical Services —Macungie, PA
- Full-time
- 5 years
- Bachelor's degree
- Recruiting
Executive Director - Behavioral Health
Steps to Recovery —Exton, PA
- Full-time
- CPR Certification
- Clean driving record
- Management
- Health savings account
- AD&D insurance
Quick Apply
Tooling and Equipment Design & Build Manager
Teleflex —Wyomissing, PA
- Hybrid work
- Engineering
- Travel
- Mentoring
Licensed Practical Nurse Outpatient - Meadowbrook Family Med Leola - Days/Evenings
Wellspan Health —Leola, PA
- Full-time
- Nursing
- RN License
- BLS Certification
- Paid parental leave
- Health insurance
Clinical Operations EMR Consultant
Maxwell TEC —United States
- $55 - $85 an hour
- Part-time
- Remote
- RN License
- Mid-level
- Home Health
Quick Apply
Remote Orthopedic Physician (MD/DO) Outpatient Prior Authorizations (IC to FTE)
Virtix Health —United States
- $125 an hour
- 8 hour shift
- Remote
- Background check
- Medicine
- Doctoral degree
- Work from home
Quick Apply

More jobs to discover

Find similar jobs that you might be interested in.

Care Management Nurse
Wellspan Health —Ephrata, PA
Assists with the collection and analysis of utilization patterns and denied cases. Assists the patient care team with the identification and coordination of…
14d
Utilization Management Nurse RN
Optum —Newtown Square, PA
Unrestricted Registered Nurse license in your state of residence. Remains up to date with all learning modules, competencies, and state required licenses.
$60,200 - $107,400 a year
6d

Show more similar jobs

Explore jobs in cities nearby

Check out jobs in cities near your current location, Columbus

Utilization Management Specialist
ST VINCENT FAMILY SERVICES —Columbus, OH
Associate's Degree required; Bachelor's Degree preferred in Healthcare Administration, Business Administration, Social Work, Public Health, or related field.
Quick Apply
Appeals and Grievances Specialist
Sidecar Health —Columbus, OH
Bachelor's degree required, in a relevant field such as healthcare administration, business, public health, or a related discipline.
$65,000 - $75,000 a year
Quick Apply
9d

Show more jobs in cities nearby

I want to receive the latest job alert for clinical documentation & utilization review in reading, pa

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

clinical documentation & utilization review jobs near reading, pa

Sterile Processing Technician jobs in Lebanon, PA

Admission Counselor jobs in Reading, PA

Compliance Officer jobs in Reading, PA

Registered Nurse jobs in Reading, PA

Operations Manager jobs in Bethlehem, PA

Sterile Processing Technician jobs in Midland, TX

Sterile Processing jobs in Oklahoma City, OK

Sterile Processing Technician jobs in Marietta, GA

Oil Burner Technician jobs in Massachusetts

Technician jobs in Huntsville, AL

Sterile Processing Technician jobs in Jacksonville, FL

Sterile Processing Technician jobs in The Woodlands, TX

Mail Processing Clerk jobs in California

Neurologist jobs in Alpharetta, GA

Stroke Neurologist jobs in California

Neurologist jobs in Olympia, WA

Neurologist jobs in Deland, FL

Neuromuscular Neurologist jobs in Florida

Admission Reader jobs in Boston College, MA

Admission Counselor jobs in Cambridge, MA

Admissions Counselor

Tower Behavioral Health -
Reading, PA

Apply Now

Job Details

PRN
5 days ago

Qualifications

CPR Certification
BLS Certification
Bachelor's degree

Full Job Description

Overview:

Admissions Counselor - Tower Behavioral Health

Shift: Day and Night

We are looking for an Admissions Counselor who will be responsible for facilitating admissions, clinical intake assessments, and utilization review processes to assure continuity for the most appropriate level of care for patients and their benefit/resource utilization.

Responsibilities:

ESSENTIAL FUNCTIONS:

Respond to inquiries about the facility within facility policy timeframes.
Ability to develop therapeutic relationships with patients and families.
Perform benefit eligibility to ensure patient benefits are active at the time of admission. Communicate benefit eligibility to the business office and the patient or significant other.
Collaborate with facility medical and psychiatric personnel to ensure appropriate recommendations regarding pending referrals.
Coordinate admission and transfer from referral sources and between levels of care within the facility.
Maintain knowledge of milieu management.
Communicate projected admissions to designated internal representatives promptly.
Ensure all clinical information from referral sources or patients (including medical comorbidity information) is received, when possible, prior to patient admission.
Schedule (when applicable) and complete pre-admission assessments, consult with the admitting physician and communicate disposition recommendations to the patient or their family.
Possess skill in preparing and maintaining appropriate medical record documentation that will result in authorization at the level of care being requested of the payor.
Complete initial pre-authorization for treatment and admission prior to admission, when possible, and within payor timeframe guidelines.
Admit the patient to the registration and accounting system. Complete all admission and consent forms with the patient.
Demonstrate a positive, empathetic, and professional attitude toward customers always. When patient needs are not met, acknowledge and work to resolve complaints. Recognize that patient safety is a top priority.
When a patient’s needs are not met, acknowledge and work to resolve complaints. Recognize that patient safety is a top priority.
Coordinate care for patients who are not being admitted and ensure that they receive appropriate follow-up care and referrals.
Demonstrate a sense of urgency related to the importance of patient safety and provide excellent customer service.
Responsible for conducting safety checks and ensuring that supervision is conducted at 15-minute intervals, as noted in special precautions, or by individualized supervision guidelines as needed.

OTHER FUNCTIONS:

Perform other functions and tasks as assigned.

TOWBH

Qualifications:

EDUCATION/EXPERIENCE/SKILL REQUIREMENTS:

Bachelor’s degree in a social services field required (if state allows).
Master's degree in a social services field (psychology, counseling, social work, sociology, health administration, nursing) or RN preferred.
One or more years’ experience in mental/behavioral health working with individuals in a clinical or observational capacity preferred.

LICENSES/DESIGNATIONS/CERTIFICATIONS:

Current licensure, as preferred for the area of clinical specialty, as designated by the state in which the facility operates.
CPR and de-escalation/restraint certification required (training available upon hire and offered by facility).
First aid may be preferred based on state or facility.

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
(e.g. emergencies, changes in workload, rush jobs, or technological developments) dictate.

We are committed to providing equal employment opportunities to all applicants for employment regardless of an individual’s characteristics protected by applicable state, federal and local laws.

AHMKT

#LI-TBH

#LI-KP1

Apply Now

Refine Your Search

clinical documentation & utilization review jobs in reading, pa

Admissions Counselor

Care Management Nurse

Compliance Packaging Coordinator

Point of Care Coordinator - UPMC Lititz

Supervisory Medical Supply Technician (Sterile Processing)-Chief

Registered Nurse (RN)

Admissions Specialist

Social Worker Ambulatory Care Manager (Full Time/Days)

Supervisor - Home Health (Ephrata) - Weekends (full-time)

Manager Operations - 2nd Shift

Executive Director - Behavioral Health

Tooling and Equipment Design & Build Manager

Licensed Practical Nurse Outpatient - Meadowbrook Family Med Leola - Days/Evenings

Clinical Operations EMR Consultant

Remote Orthopedic Physician (MD/DO) Outpatient Prior Authorizations (IC to FTE)

More jobs to discover

Explore jobs in cities nearby

I want to receive the latest job alert for clinical documentation & utilization review in reading, pa

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected