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(Archived) Highland Springs - Utilization Specialist

Last Updated: 5/06/19

Job Description



Highland Springs –Utilization Review Specialist


Utilization Review Specialist Full Time Days


Highland Springs is a 72-bed behavioral hospital located near Cleveland, OH . The hospital offers inpatient and outpatient mental health and addiction treatment to adults, adolescents and their families. At Highland Springs we are dedicated to Changing People’s Lives®, 96 % of our patients recommend treatment at Highland Springs*

The Utilization Review department plays an essential role in helping fulfill our mission of “Changing People’s Lives®”. Utilization Review team members advocate on behalf of our patients to managed care providers for necessary treatment. As a Utilization Review Specialist, you will accurately and timely complete utilization review activities.

Members of our team Enjoy:

· Working with a highly engaged staff

· Healthy staffing levels

· Flexible scheduling

· Career growth

· Competitive compensation

A Comprehensive Benefit package is offered to Full and Part time team members


Position Details:

· Actively Communicate with interdisciplinary team members to acquire information and give updates on authorizations

· Ensure all pre-certifications are completed for inpatient and outpatient services.

· Monitor hospital LOS, report appropriately.

· Work with Director of Nursing to ensure documentation requirements are met

· Interface with managed care organizations, external reviews, and other payers.

Requirements:

· LPNs welcome to apply!

- Bachelor’s Degree preferred

· Current encumbered clinical licensure and valid driver’s license

· CPR and CPI Certification within 30 day of employment

Experience:

· Previous utilization review experience in a psychiatric healthcare facility preferred

*Source: Mental Health Outcomes: Patient Satisfaction Survey 2016

Company Details

Louisville, Kentucky, United States
Springstone is a leading provider of high quality behavioral health services in numerous markets throughout the United States. The name Springstone represents the possibilities of hope and renewal anchored by a solid and secure foundation. Springstone fulfills its mission of Changing People's Lives® by: Engaging our employees through meaningful work that strengthens individuals, families, and co...