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Ur Coordinator: Mental Health Specialist

1 month ago

Columbus, Ohio, United States Universal Health Services, Inc. Full time

Careers at Columbus Behavioral Center for Children and Adolescents

We are seeking a Utilization Review Specialist to join our team at Columbus Behavioral Center for Children and Adolescents. As a leading provider of mental health services in the greater Columbus, Indiana area, we offer a challenging and rewarding work environment with competitive compensation and benefits.

**Job Summary**

The Utilization Review Specialist is responsible for executing the UR function, which includes the implementation of case management scenarios and facilitation of clinical pertinence reviews on all patient admissions and continued stays. The successful candidate will have a minimum of five years' direct clinical experience in a psychiatric or mental health treatment setting, with advanced knowledge of the utilization review process.

**Key Responsibilities**

• Execute the UR function, including the implementation of case management scenarios and facilitation of clinical pertinence reviews on all patient admissions and continued stays.

• Consult with all services to ensure the provision of an effective treatment plan for patients.

• Interface with managed care organizations, external reviewers, and other payors to respond to requests for services.

• Maintain denials and appeals logs and review the progress of all appeals activity.

**Requirements**

• Bachelor or associate degree in Nursing from an accredited school (highly preferred).

• A minimum of five years' direct clinical experience in a psychiatric or mental health treatment setting.

• Advanced knowledge of the utilization review process.

• Must maintain a valid Indiana Registered Nursing and driver's license.

**Benefits**

As a Utilization Review Specialist at Columbus Behavioral Center for Children and Adolescents, you can expect a comprehensive benefits package, including:

  • Competitive salary: $75,000 - $90,000 per year
  • Medical, dental, vision, and prescription drug plans
  • Short & long-term disability options
  • 401(k) with company match and discounted stock plan
  • Tuition reimbursement
  • Paid training

Our organization values diversity and inclusion among our teammates and strives to create a welcoming and supportive work environment. If you are passionate about delivering exceptional patient care and working collaboratively as part of a dynamic team, we encourage you to apply for this exciting opportunity.