This job is archived
(Archived) Utilization Review Specialist
Job Description
Overview
Highland Springs is a 72-bed behavioral hospital located near Cleveland, Ohio . 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®.
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.
Qualifications
Requirements:
- Bachelor’s Degree
- Current unencumbered 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
Company Details
