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Utilization Case Manager- Inpatient Program Job Opening In Syracuse – Now Hiring Helio Health


Job description

Overview

Helio Health is on a mission to treat and promote recovery from the effects of substance use, mental health disorders, and other behavioral healthcare issues.

To support the mission of Helio Health, the Utilization Case Manager will enhance the program’s efforts to track, review, and analyze data relating to continuous quality improvement.

The Utilization Case Manager will work on a Full-Time basis supporting our Syracuse Inpatient/Detox program.


In addition to Helio Health's comprehensive benefits package, this position is eligible for a Sign-On incentive up to $1,500!Pay Range: $23.00 - $28.00/hr

Responsibilities

  • Review precertification requests for medical necessity, referring to the medical provider those that require additional expertise.

  • Review clinical information for concurrent reviews, extending the length of stay for patients/residents as appropriate.
  • Assist in developing and administering policies and procedures for utilization.
  • Negotiating access to care for individuals seeking services at Helio Health, Inc.
  • Educate program staff on current principles and standards of practice surrounding utilization and denials management.
  • Use effective relationship management, coordination of services, resource management, education, and patient advocacy to promote improved quality of care and/or life.
  • Performs quality assurance activities to include:
  • Provides services according to agency policies, procedures, program guidelines and governmental regulations.
  • Monitors provision of services when assigned.
  • Evaluates program and identifies strengths and weaknesses.
  • Assists In problem resolution and implementation of supervisor approved program modifications.
  • Qualifications

  • Associate's degree required, Bachelor's degree preferred.
  • Licensed/credentialed applicants preferred.
  • Two years of experience in utilization review in a hospital, health care, or managed care setting.

  • Knowledge of federal and state regulations applicable to treatment and reimbursement.
  • Utilization review procedures and techniques.
  • Our Comprehensive Employee Benefits Package Includes: 

  • Health insurance including dental and vision for employees and families.

  • Paid Vacation and Sick leave - No Waiting Period for accruals.

  • Paid holidays, including a floating birthday holiday.

  • 401(k) plan with up to 5% company match.

  • Company paid short-term disability insurance.

  • Company sponsored life insurance.

  • Employee Assistance Program (EAP).

  • Helio Health provides equal opportunity to all employees and applicants for employment, without regard to race, creed, color, sex (including pregnancy, gender identity and sexual orientation), parental status, religion, national origin, citizenship, status as a victim of domestic violence, age, military or veteran status, handicap or disability, family medical history or predisposing genetic characteristics or carrier status, marital status, family status, political affiliation, felony conviction record, status as a victim of a crime, or status as an employee who has complained about discrimination, filed a charge of discrimination, or participated in an employment discrimination investigation or lawsuit, or any other categories, status or activity protected by federal, state or local law.

    Salary and hourly compensation ranges are provided in accordance with NYS law and are based on Helio Health's good faith belief of what is accurate at the time of posting.

    Salary and hourly compensation offers are based on candidate's education level and experience relevant to the position and also take into account information provided by the hiring manager and program

    Required Skill Profession

    Other Management Occupations


    • Job Details

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    Unlock Your Utilization Case Potential: Insight & Career Growth Guide


    Real-time Utilization Case Jobs Trends (Graphical Representation)

    Explore profound insights with Expertini's real-time, in-depth analysis, showcased through the graph here. Uncover the dynamic job market trends for Utilization Case in Syracuse, United States, highlighting market share and opportunities for professionals in Utilization Case roles.

    12797 Jobs in United States
    12797
    34 Jobs in Syracuse
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    Download Utilization Case Jobs Trends in Syracuse and United States

    Are You Looking for Utilization Case Manager Inpatient Program Job?

    Great news! is currently hiring and seeking a Utilization Case Manager Inpatient Program to join their team. Feel free to download the job details.

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    The Work Culture

    An organization's rules and standards set how people should be treated in the office and how different situations should be handled. The work culture at Helio Health adheres to the cultural norms as outlined by Expertini.

    The fundamental ethical values are:

    1. Independence

    2. Loyalty

    3. Impartiapty

    4. Integrity

    5. Accountabipty

    6. Respect for human rights

    7. Obeying United States laws and regulations

    What Is the Average Salary Range for Utilization Case Manager Inpatient Program Positions?

    The average salary range for a varies, but the pay scale is rated "Standard" in Syracuse. Salary levels may vary depending on your industry, experience, and skills. It's essential to research and negotiate effectively. We advise reading the full job specification before proceeding with the application to understand the salary package.

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    Interview Tips for Utilization Case Manager Inpatient Program Job Success

    Helio Health interview tips for Utilization Case Manager  Inpatient Program

    Here are some tips to help you prepare for and ace your Utilization Case Manager Inpatient Program job interview:

    Before the Interview:

    Research: Learn about the Helio Health's mission, values, products, and the specific job requirements and get further information about

    Other Openings

    Practice: Prepare answers to common interview questions and rehearse using the STAR method (Situation, Task, Action, Result) to showcase your skills and experiences.

    Dress Professionally: Choose attire appropriate for the company culture.

    Prepare Questions: Show your interest by having thoughtful questions for the interviewer.

    Plan Your Commute: Allow ample time to arrive on time and avoid feeling rushed.

    During the Interview:

    Be Punctual: Arrive on time to demonstrate professionalism and respect.

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    Follow Up: Send a thank-you email to the interviewer within 24 hours.

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    Final Thought:

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    By following these tips, you can increase your chances of making a positive impression and landing the job!

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