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Utilization Review Specialist

Springstone, Inc

Last Updated: 12/04/21

Job Description

Overview

Carrollton Springs is a 78 -bed behavioral hospital located near Carrollton . The hospital offers inpatient and outpatient mental health and addiction treatment to adults, adolescents and their families. At Carrollton 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
  • Daily Pay - We’ve partnered with DailyPay, a voluntary benefit to offer employees access to their pay on their own schedule

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.
  • This position is based at our Frisco location

Qualifications

Requirements:

  • Bachelor’s degree or current clinical license required or license in lieu of 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

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, fami...