Utilization Coordinator, Residential Rehabilitation- Gaithersburg, MD

Residential Rehabilitation Program (RRP) services are designed for individuals with serious mental illness who have difficulty maintaining housing. Our team helps individuals obtain housing, employment, mental health services, and more.

What to expect.

This is a direct care opportunity to assist individuals who receive mental health services in supporting utilization & authorization activities for Gaithersburg Residential Rehabilitation Programs. You will track authorizations and plan due dates, maintain spreadsheets, send out clinical requests for new authorizations, maintain and send monthly reports to other staff members, and track and review the progress of clients.

Additional responsibilities will include:

Set up meetings with clients and their teams to complete all plans as they are due

Input, update staff members, and submit progress paragraphs for clients for approval

Obtain authorization for services for all clients within the program through the Provider Connect system of Value Options

Work in Evolv and Provider Connect systems to enter approved authorizations, research and correct claim errors, discharge clients, and update client information

Update and maintain accurate billing tracking

Ensure compliance with all regulations and standards of COMAR, CMS, and CARF through planning and documentation of services

Track and inform supervisor of authorization and funding issues

What you’ll get from us.

At Sheppard Pratt, you will work alongside a multi-disciplined team led by a bold vision to change lives. We offer:

A commitment to professional development, including a comprehensive tuition reimbursement program to support ongoing education and licensure and/or certification preparation

Comprehensive medical, dental and vision benefits for benefit eligible positions

403b retirement match

Generous paid-time-off for benefit eligible positions

Complimentary Employee Assistance Program (EAP)

Generous mileage reimbursement program

What we need from you.

Bachelor’s degree in psychology, psychiatric rehabilitation or related field required.

Minimum of two years’ experience working in psychiatric rehabilitation required.

CPRP required within one year of beginning position. Must have excellent writing skills, problem solving skills (figuring out auth issues), is recovery oriented and understands strength-based plans.

Knowledge of COMAR, CMS, CARF and COMCOR regulations.

Knowledge of Recovery Model and Evidence-Based Practices in psychiatric rehabilitation.

WHY SHEPPARD PRATT?

At Sheppard Pratt, we are more than just a workplace. We are a community of healthcare professionals who are dedicated to providing hope and healing to individual’s facing life’s challenges. Join us and be a part of a mission that changes lives!

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