Utilization Review Specialist

4 weeks ago


Groton, Connecticut, United States UHS Full time

Job Summary:

The Utilization Review Specialist is responsible for ensuring that clients receive the necessary level of care for their treatment. This involves reviewing client information, consulting with admissions staff, and coordinating with payors to secure approval for treatment.

Key Responsibilities:

  • Conduct initial precertification for all levels of care
  • Complete concurrent reviews on assigned cases
  • Collaborate with clinicians and case managers to obtain pertinent clinical information
  • Learn and utilize the UR Tracking System, Midas, to enter daily authorizations and monitor reports
  • Document and file all authorization information accurately and completely

Requirements:

  • Masters Degree preferred; minimum Bachelors Degree in Psychology or related Human Service Field or RN
  • Knowledge of Utilization Review Processes, insurance plans, mental health and chemical dependency treatment
  • Knowledge of various treatment levels of care as well as psychiatric diagnosis

About UHS:

Universal Health Services, Inc. (UHS) is one of the nation's largest and most respected providers of hospital and healthcare services. We are committed to providing quality care and treatment to our clients, and we are seeking a highly skilled and dedicated Utilization Review Specialist to join our team.



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