Easter Seals Jobs

Description

Mirror Lake Recovery Center has been supplying top-notch addiction treatment that sets the standard of true clinical excellence. Located in scenic Burns, Tennessee, this center’s campus is situated on 75 tranquil acres, and provides proven effective treatment that is able to transform the lives of all who come to Mirror Lake to defeat an addiction to drugs and/or alcohol.

Are you a Registered Nurse looking to use your skill set in a different way? Then consider applying for our UR Specialist position! Check out the details below:

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.

Qualifications

Skills

Required

• Written Communication: Novice

• Planning & Organizing: Novice

• Oral Communication: Novice

• Financial Awareness: Novice

• Customer Focus: Novice

• Computer - Word: Novice

• Computer - Excel: Novice

• Communication: Novice

• Attention to Detail: Novice

Behaviors

Required

• Loyal: Shows firm and constant support to a cause

• Team Player: Works well as a member of a group

• Enthusiastic: Shows intense and eager enjoyment and interest

• Dedicated: Devoted to a task or purpose with loyalty or integrity

• Detail Oriented: Capable of carrying out a given task with all details necessary to get the task done well

Motivations

Required

• Self-Starter: Inspired to perform without outside help

• Job Security: Inspired to perform well by the knowledge that your job is safe

• Goal Completion: Inspired to perform well by the completion of tasks

• Ability to Make an Impact: Inspired to perform well by the ability to contribute to the success of a project or the organization

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c)