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Utilization Review

2 months ago

Columbus, United States MARYHAVEN,INC Full time

Utilization Review Specialist Job Description

Unique opportunity to join Maryhaven, Central Ohio's largest and most comprehensive behavioral services provider specializing in addiction recovery. We are looking for skilled, talented, and compassionate people to join our team Maryhaven was founded on the principles of Diversity, Equity, and Inclusion in 1953, opening our doors to serve an overlooked segment of our population, women in need of substance abuse recovery services. We remain driven by our value of excellence in quality care for all and fostering a culture that embraces dignity of all. The Utilization Review Specialist coordinates the design, development, implementation, and monitoring of the organization's Benefits and utilization review functions. The Utilization Review Specialist manages daily operations, which include supervising the staff performing benefit enrollments and utilization management activities. The Utilization Review Specialist review functions as the internal resource on issues related to the appropriate utilization of resources & services, coordination of care across agency and utilization review and management. The Utilization Review Specialist participates in department development and unit performance improvement.

Utilization Review Specialist Benefits

  • Knowledge and skills at a level normally acquired through the completion of a Bachelor's Degree in human service or behavioral health with two (2) years experience in the field of chemical dependency, or adolescent treatment or equivalent experience and training in behavioral health field.
  • Knowledge of Electronic Health Records.
  • Must have valid State of Ohio LPCC, LSW, LCDC II or III, RN licensure.

Utilization Review Specialist Requirements

  • Salary commensurate with experience.
  • Medical, vision, and dental insurance effective on your first day
  • Paid time off (PTO) starts accruing on your first day
  • 11 paid holidays.
  • 403(b) Retirement Savings Plan.
  • Free Workforce Development and CEU's.
  • Tuition reimbursement.
  • A well-funded and managed non-profit organization driven not by the bottom line, but by helping its customers.
  • Equal Employment Opportunity (EEO).


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