Top 10 Extension associate Jobs in Southport, Nc

Utilization Specialist
Wilmington Treatment Center —Wilmington, NC
- Full-time
- CPR Certification
- Nursing
- RN License
Retail Merchandiser - Walmart
PRE-US —Shallotte, NC
- $15 an hour
- Part-time
- 18 years or older
- Merchandising
- US work authorization
- Flexible schedule
Quick Apply
Sales Associate
J.Crew Factory —Wilmington, NC
- Part-time
- 18 years or older
- Sales
- Entry level
- 401(k) matching
Survey Manager (PLS)
Bolton & Menk, Inc —Wilmington, NC
- 5 years
- Office
- Driver's License
- Flexible schedule
Quick Apply
Senior Tax Manager - Multistate
TJT —Wilmington, NC
- Hybrid work
- 6 years
- CPA
- Research
- Disability insurance
- Relocation assistance
6d

Explore jobs in cities nearby

Check out jobs in cities near your current location, Columbus

Laboratory Technician (Environmentally Assisted Cracking Labs)
EDISON WELDING INSTITUTE INC —Columbus, OH
Three (3) years of experience operating mechanical test equipment. Operate complex, multi-parameter laboratory systems safely in environments involving…
Quick Apply
Commercial Carpenter-Mobile
Omnia Facility Solutions —Reynoldsburg, OH
Personal hand tools a plus. Drywall installation, finishing, patching and repair. Alteration, repair, construction and maintenance of floors, stairways,…
$24 - $27 an hour
Quick Apply
8d

I want to receive the latest job alert for extension associate in southport, nc

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

extension associate jobs near southport, nc

Utilization Specialist

Wilmington Treatment Center -
Wilmington, NC

Apply Now

Job Details

Full-time

Qualifications

CPR Certification
BLS Certification
High school diploma or GED

Full Job Description

Overview:

PURPOSE STATEMENT:

Proactively monitor utilization of services for patients to optimize reimbursement for the facility.

Responsibilities:

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.

Qualifications:

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
(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.

Apply Now

Refine Your Search

extension associate jobs in southport, nc

Utilization Specialist

Retail Merchandiser - Walmart

Sales Associate

Survey Manager (PLS)

Senior Tax Manager - Multistate

Explore jobs in cities nearby

I want to receive the latest job alert for extension associate in southport, nc

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected