Utilization Review Specialist

3 weeks ago

Fort Worth TX United States WellBridge Healthcare Full time

Description

*Utilization Review Specialist (URS) - Behavioral Health*

WellBridge Fort Worth, part of Lifepoint Behavioral Health, nationally known healthcare organization with diversified delivery network with facilities from coast to coast, seeks passionate, patient-centric, and goal-oriented team members to join our team. We specialize in compassionate behavioral health services, including crisis stabilization, inpatient care, and outpatient treatment for acute mental health and substance use treatment. Our philosophy is built on a psychosocial model of care to decrease suicide rates, decrease addiction-related deaths, reverse the decline in life expectancy, and improve productivity in the communities we serve. We offer a collaborative work environment, competitive compensation, and flexible scheduling so you can focus on what really mattersproviding quality patient care. Join our team in Fort Worth, Texas to build a career that touches lives.

Benefits

  • Affordable medical, dental and vision plans provided to meet the needs of full employees and their families
  • Up to 16 days of PTO for full time employees
  • 6 paid holidays for full time employees
  • Tuition reimbursement
  • 401(k) retirement plan
  • Flexible spending and health savings accounts

What you will do in this role:

  • Displays knowledge of clinical criteria, managed care requirements for inpatient and outpatient authorization and advocates on behalf of the patient to secure coverage for needed services.
  • Completes pre and re-certifications for inpatient and outpatient services.
  • Reports appropriate denial, and authorization information to designated resource.
  • Actively communicates with interdisciplinary team to acquire pertinent information and give updates on authorizations.
  • Participate in treatment teams to ensure staff have knowledge of coverage and to collect information for communication with agencies.
  • Other Duties as assigned.

Qualifications

Qualifications:

  • Bachelors degree required. Masters degree preferred.
  • Previous utilization review experience in a psychiatric healthcare facility preferred.
  • Current unencumbered clinical license strongly preferred.
  • CPR certification and Crisis Prevention Training (CPI) preferred.
RequiredPreferredJob Industries
  • Other

  • Utilization Review Specialist

    2 weeks ago

    Fort Worth, TX, United States WellBridge Healthcare Full time

    Description *Utilization Review Specialist (URS) - Behavioral Health* WellBridge Fort Worth, part of Lifepoint Behavioral Health, nationally known healthcare organization with diversified delivery network with facilities from coast to coast, seeks passionate, patient-centric, and goal-oriented team members to join our team. We specialize in compassionate...

  • Utilization Review Specialist

    2 weeks ago

    Fort Worth, United States WellBridge Healthcare Full time

    Description*Utilization Review Specialist (URS) - Behavioral Health*WellBridge Fort Worth, part of Lifepoint Behavioral Health, nationally known healthcare organization with diversified delivery network with facilities from coast to coast, seeks passionate, patient-centric, and goal-oriented team members to join our team. We specialize in compassionate...

  • Utilization Review Specialist

    2 weeks ago

    Fort Worth, United States WellBridge Healthcare Full time

    Description *Utilization Review Specialist (URS) - Behavioral Health* WellBridge Fort Worth, part of Lifepoint Behavioral Health, nationally known healthcare organization with diversified delivery network with facilities from coast to coast, seeks passionate, patient-centric, and goal-oriented team members to join our team. We specialize in...

  • Utilization Review Specialist

    3 weeks ago

    Fort Worth, United States WellBridge Healthcare Full time

    Job DescriptionDescription*Utilization Review Specialist (URS) - Behavioral Health*WellBridge Fort Worth, part of Lifepoint Behavioral Health, nationally known healthcare organization with diversified delivery network with facilities from coast to coast, seeks passionate, patient-centric, and goal-oriented team members to join our team. We specialize in...

  • Utilization Review Specialist

    3 weeks ago

    Fort Worth, United States WellBridge Healthcare Full time

    Job DescriptionDescriptionUtilization Review Specialist (URS) - Behavioral HealthWellBridge Fort Worth, part of Lifepoint Behavioral Health, nationally known healthcare organization with diversified delivery network with facilities from coast to coast, seeks passionate, patient-centric, and goal-oriented team members to join our team. We specialize in...

  • Utilization Review Specialist

    2 weeks ago

    FORT WORTH, United States WellBridge Healthcare Full time

    Description*Utilization Review Specialist (URS) - Behavioral Health* WellBridge Fort Worth, part of Lifepoint Behavioral Health, nationally known healthcare organization with diversified delivery network with facilities from coast to coast, seeks passionate, patient-centric, and goal-oriented team members to join our team. We specialize in compassionate...

  • Utilization Review Coordinator

    4 weeks ago

    Katy, TX, United States Oceans Healthcare Full time

    Benefits We Offer: Medical, Dental, Vision Coverage (Multiple Plan Options) - Eligible first of the month after 30 days. 401 (k) Retirement Savings Plan with Discretionary Company Match Tuition Reimbursement Paid Time Off Daily Pay Option Competitive Market Compensation Short Term Disability, Long Term Disability Life Insurance Employee Assistance...

  • Healthcare Utilization Review Expert

    37 minutes ago

    Fort Worth, Texas, United States WellBridge Healthcare Full time

    ResponsibilitiesDisplay knowledge of clinical criteria, managed care requirements for inpatient and outpatient authorization and advocate on behalf of the patient to secure coverage for needed services.Complete pre and re-certifications for inpatient and outpatient services.Report appropriate denial and authorization information to designated...

  • Behavioral Health Utilization Reviewer

    13 minutes ago

    Fort Worth, Texas, United States WellBridge Healthcare Full time

    About UsWelcome to WellBridge Fort Worth, part of Lifepoint Behavioral Health. We are a nationally known healthcare organization with a diversified delivery network of facilities from coast to coast.We specialize in compassionate behavioral health services, including crisis stabilization, inpatient care, and outpatient treatment for acute mental health and...

  • Utilization Review Director

    1 month ago

    Fort Wayne, United States Northern Path Recovery Center Full time

    **This on site position, NOT remote**Salary Range: $73-85k The Director of Utilization Management is responsible for the overall management of the UM department by leading and facilitating review of assigned admissions, continued stays, utilization practices and discharge planning according to approved clinically valid criteria. Directs and manages the...

  • Utilization Review Director

    1 month ago

    fort wayne, United States Northern Path Recovery Center Full time

    **This on site position, NOT remote**Salary Range: $73-85k The Director of Utilization Management is responsible for the overall management of the UM department by leading and facilitating review of assigned admissions, continued stays, utilization practices and discharge planning according to approved clinically valid criteria. Directs and manages the...

  • Utilization Review Director

    1 month ago

    Fort Wayne, United States Northern Path Recovery Center Full time

    **This on site position, NOT remote**Salary Range: $73-85k The Director of Utilization Management is responsible for the overall management of the UM department by leading and facilitating review of assigned admissions, continued stays, utilization practices and discharge planning according to approved clinically valid criteria. Directs and manages the...

  • Registered Nurse RN

    1 month ago

    Destin, FL, United States Ascension Sacred Heart Emerald Coast Full time

    Registered Nurse RN - Utilization ReviewDetails * Department: Utilization Review * Schedule: 3 (8) hour days per week Monday-Friday * Hospital: Ascension Sacred Heart Emerald Coast * Location: Destin, Florida Benefits Paid time off (PTO) Various health insurance options & wellness plans Retirement benefits including employer match plans Long-term &...

  • Utilization Review RN

    4 weeks ago

    Norman, OK, United States Norman Regional Health System Full time

    Overview: The Utilization Review team is comprised of highly skilled Registered Nurses who ensure Norman Regional Health System follows a compliant review process to determine appropriateness of admission. Responsibilities: * Utilization Review, Utilization Management, Advocacy and Education * Clinical Analysis and Data Management * Clinical Care...

  • Utilization Review Nurse

    1 month ago

    Brookhaven, GA, United States Children's Healthcare of Atlanta Full time

    Job DescriptionNote: If you are CURRENTLY employed at Children's and/or have an active badge or network access, STOP here. Submit your application via Workday using the Career App (Find Jobs).Work ShiftDayWork Day(s)Monday-Friday, VariableShift Start Time8:00 AMShift End Time4:00 PMWorker Sub-TypePRNChildren’s is one of the nation’s leading children’s...

  • Utilization Review Nurse

    2 months ago

    Brookhaven, GA, United States Children's Healthcare of Atlanta Full time

    Job DescriptionNote: If you are CURRENTLY employed at Children's and/or have an active badge or network access, STOP here. Submit your application via Workday using the Career App (Find Jobs).Work ShiftDayWork Day(s)Monday-Friday, VariableShift Start Time8:00 AMShift End Time4:00 PMWorker Sub-TypePRNChildren’s is one of the nation’s leading children’s...

  • Utilization Review RN

    4 weeks ago

    Norman, OK, United States Norman Regional Health System Full time

    Overview: The Utilization Review team is comprised of highly skilled Registered Nurses who ensure Norman Regional Health System follows a compliant review process to determine appropriateness of admission. Responsibilities: Utilization Review, Utilization Management, Advocacy and EducationClinical Analysis and Data ManagementClinical Care...

  • Utilization Review RN

    4 weeks ago

    Washington, OK, United States Norman Regional Health System Full time

    Overview: The Utilization Review team is comprised of highly skilled Registered Nurses who ensure Norman Regional Health System follows a compliant review process to determine appropriateness of admission. Responsibilities: Utilization Review, Utilization Management, Advocacy and EducationClinical Analysis and Data ManagementClinical Care...

  • Utilization Review RN

    4 weeks ago

    Newalla, OK, United States Norman Regional Health System Full time

    Overview: The Utilization Review team is comprised of highly skilled Registered Nurses who ensure Norman Regional Health System follows a compliant review process to determine appropriateness of admission. Responsibilities: Utilization Review, Utilization Management, Advocacy and EducationClinical Analysis and Data ManagementClinical Care...

  • Utilization Review RN

    4 weeks ago

    Yukon, OK, United States Norman Regional Health System Full time

    Overview: The Utilization Review team is comprised of highly skilled Registered Nurses who ensure Norman Regional Health System follows a compliant review process to determine appropriateness of admission. Responsibilities: Utilization Review, Utilization Management, Advocacy and EducationClinical Analysis and Data ManagementClinical Care...