This job is archived
(Archived) Utilization Review Specialist
Job Description
Overview
Carrollton Springs offers Partial Hospitalization (PHP) and Intensive Outpatient (IOP) programs for children and adolescents, ages 10 through 17. Changes- Frisco is a therapeutic focused program offered as a day program, some of the services we offer include Psychotherapy, psychoeducational and process groups, family and group therapy, and medication management. We are seeking a master level therapist with child and adolescent experience to join our team.
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
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
