Utilization Assistant/ Insurance Coordinator

White Deer Run of Lehigh in Lehigh County is a leading Drug & Alcohol Addiction Rehab center which is committed to provide most comprehensive recovery programs for men and women who are struggling with substance abuse disorder and other mental health conditions. They empower each individual to heal and take an active role in their recovery journey by working together with their staff of therapists, social works, psychiatrists, etc. This center is part of The White Deer Run Treatment Network which offers 16 programs containing comprehensive continuum of treatment services for adults who are struggling with chemical dependency and certain co-occurring mental health disorders.

White Deer Run is a proud client of Acadia Healthcare which is a for-profit health system, providing mental health and substance-use disorder treatments with locations throughout the United States and Puerto Rico. As a leading provider of behavioral healthcare services, Acadia Healthcare operates under the large network of 227 behavioral healthcare facilities with approximately 9,900 beds in 40 states and have around 20,000 employees serving approximately 70,000 patients daily.

ESSENTIAL FUNCTIONS:

• Perform pre-certification and negotiate continued stay with third party payers.
• Gather data to support case management activities, including presentation of gathered data and case
notes.
• Coordinate discharge planning with clinical team, maintain CRM database with discharge information
and follow up.
• Present case information and the needs of third-party payers to (?).
• Assist in admissions review, concurrent reviews and discharge planning.
• Assist physician in peer review by serving as information resource, gather data to support review and
schedule peer review.
• Informs management about the status of current patients; documents utilization activities as
instructed. Participates in performance improvement activities.

OTHER FUNCTIONS:

• Perform other functions and tasks as assigned.

EDUCATION/EXPERIENCE/SKILL REQUIREMENTS:

• High school diploma or equivalent required.

LICENSES/DESIGNATIONS/CERTIFICATIONS:

• Current certification as Registered Addiction Specialist, certified Substance Abuse Counselor or similar
certification preferred.