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Utilization Coordinator, Residential Rehabilitation- Gaithersburg, MD

Job Category

:

Clerical and Administrative Services Requisition Number

:

UTILI008775 Apply now Posted : May 9, 2025 Full-Time On-site Rate :

$19.31 USD

per hour Locations

Showing 1 location RRP Gaithersburg 610 East Diamond Avenue Suite 100 Gaithersburg, MD 20877, USA

RRP Gaithersburg 610 East Diamond Avenue Suite 100 Gaithersburg, MD 20877, USA

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) 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! Qualifications

Skills

Behaviors

: Motivations

: Education

Experience

Licenses & Certifications

Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws.For further information, please review the Know Your Rights notice from the Department of Labor.

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