Psychiatric Admissions and Referral Specialist

4 weeks ago


Baltimore, Maryland, United States University of Maryland Medical System Full time
Job Overview

University of Maryland Medical System is seeking a skilled Utilization Management Specialist to join our team in the Psychiatric Admissions and Referral Center (PARC). This role requires a strong background in psychiatry, mental health, and behavioral health insurance authorizations.

The ideal candidate will have experience with inpatient prior authorizations, insurance verification of eligibility and benefits, and nationally recognized care guidelines/criteria. This position involves interfacing with case managers, medical teams, hospital staff, physician advisors, and payers to assess patient needs and provide utilization review and denials management.

Responsibilities
  • Provide utilization review and denials management for an assigned patient case load
  • Utilize nationally recognized care guidelines/criteria to assess patient needs
  • Interface with case managers, medical teams, hospital staff, physician advisors, and payers
Requirements
  • Prior experience in psychiatry, mental health, or behavioral health is required
  • Licensure as a Social Worker or Registered Nurse or other equivalent health care license in the state of Maryland, or eligible to practice due to Compact state agreements outlined through the MD Board of Nursing, is required
Company Description

University of Maryland Medical System is a renowned academic medical center with opportunities across the continuum of care. Our Magnet-designated facility is located in downtown Baltimore near the Inner Harbor and Camden Yards, offering a vibrant work environment.



  • Baltimore, Maryland, United States LifeBridge Health Full time

    Psychiatric Specialist OpportunityAt LifeBridge Health, we are committed to creating a healthier community one person at a time. As a Psychiatric Specialist, you will play a vital role in providing safe and age-appropriate patient care under the direction of the RN. Unit Summary:The inpatient psychiatric unit is a 24-bed unit providing short stay...


  • Baltimore, Maryland, United States Pleasant Behavioral Health Systems Full time

    Pleasant Behavioral Health Systems is seeking a highly skilled Psyhchiatric Rehabilitation Specialist to join our team.Job Summary:The Psychiatric Rehabilitation Specialist will be responsible for developing and implementing rehabilitation services that meet the needs of individuals with psychiatric diagnoses.Key Responsibilities:* Develop and implement...


  • Baltimore, Maryland, United States Treasure Health Full time

    Job DescriptionTreasure Health Systems is seeking a skilled Psychiatric Rehabilitation Specialist to join our team. As a key member of our Psychiatric Rehabilitation Program, you will be responsible for developing and implementing rehabilitation services that meet the unique needs of our clients.Key Responsibilities:Develop and Implement Rehabilitation...


  • Baltimore, Maryland, United States Healthcare Support Full time

    Healthcare Support is seeking a skilled Psychiatric Travel Nurse RN to join their team for a 13-week contract in Maryland. This role offers a unique opportunity to work with a reputable healthcare organization and gain valuable experience in psychiatric nursing.Job RequirementsSpecialty: PsychiatricDiscipline: RNContract Duration: 13 weeksHours per Week:...


  • Baltimore, Maryland, United States MedStar Health Full time

    Job Summary:Medstar Health is seeking a skilled Behavioral Health Specialist to provide therapeutic interventions, assessment, evaluation, and disposition services for patients presenting to the Emergency Department with psychiatric concerns or illness.The ideal candidate will have a Master's degree in psychology, Social Work, or a related field, and be...


  • Baltimore, Maryland, United States MedStar Health Full time

    Job Summary: Medstar Health is seeking a skilled Behavioral Health Specialist to provide therapeutic interventions, assessment, and disposition services for patients presenting to the Emergency Department with psychiatric concerns or illness. The ideal candidate will possess a Master's degree in psychology, social work, or a related field, and be licensed as...


  • Baltimore, Maryland, United States Cynet Health Full time

    Job Title: Registered Nurse (RN)Job Specialty: Child & Adolescent PsychiatryJob Duration: 13 WeeksShift: Day 12 (7:00 AM - 7:30 PM)Guaranteed Hours: Not specifiedExperience: 2 years of pediatric nursing experienceLicense: Registered Nurse (RN)Certifications: Basic Life Support (BLS)Must-Have:2 years of pediatric nursing experienceExperience in child...

  • Social Worker

    4 weeks ago


    Baltimore, Maryland, United States LifeBridge Health Full time

    Job Summary:As a Psychiatric Social Worker, you will play a crucial role in coordinating psychosocial assessments and discharge planning for patients receiving inpatient psychiatric services at LifeBridge Health. Your leadership and psychosocial support will be essential in addressing the individual's needs, from pre-admission to post-discharge. You will...


  • Baltimore, Maryland, United States Free Baltimore Full time

    Job SummaryWe are seeking an experienced Psychiatric Nurse Practitioner to serve as Medical Director for our organization. The ideal candidate will have a strong background in psychiatric nursing and leadership experience.Key ResponsibilitiesProvide clinical direction and leadership to the healthcare provider teamPerform comprehensive psychiatric assessments...


  • Baltimore, Maryland, United States Johns Hopkins HealthCare Full time

    Job Summary:Provides comprehensive psychiatric evaluations to patients in the Emergency Department at Johns Hopkins Bayview. Demonstrates expertise in psychiatric diagnosis and substance abuse evaluations. Collaborates with a multidisciplinary team to deliver high-quality psychiatric services, obtaining necessary insurance authorizations and adhering to...


  • Baltimore, Maryland, United States Sentinel Healthcare Full time

    About Sentinel Healthcare IncSentinel Healthcare Inc. is a mental health practice focused on evidenced-based, medically driven treatment services for children, adolescents, and adults dealing with mental health conditions both in-person and via telehealth.The company employs psychiatrists, psychologists, psychiatric nurse practitioners, and licensed...


  • Baltimore, Maryland, United States Summit Medical Staffing Nursing Full time

    Job Title: Travel Psychiatric NurseJob Summary:Summit Medical Staffing Nursing is seeking a travel nurse for a psychiatric unit. The ideal candidate will have experience working with psychiatric patients and be able to provide high-quality care in a fast-paced environment.Job Details: Specialty: Psychiatric Discipline: RN Employment Type: TravelBenefits:...

  • Referrals Coordinator

    4 weeks ago


    Baltimore, Maryland, United States Health Care For the Homeless Inc Full time

    Job DescriptionOverviewThe Referrals Specialist plays a vital role in providing exceptional customer service to clients, staff, and visitors through administrative support. This position requires the ability to manage confidential information in multiple databases and systems, ensuring seamless support for clients throughout the referral processing cycle.Key...


  • Baltimore, Maryland, United States University of Maryland Medical System Full time

    Job SummaryWe are seeking a highly skilled Facility Admissions Coordinator II, Clinical Dental to join our team at the University of Maryland Medical System. This role will be responsible for performing scheduling, registration, pre-admission processing, wayfinding, and other administrative duties, while adhering to department-specific standards for data...


  • Baltimore, Maryland, United States Caring Hands Behavioral Health Center Full time

    Job Title: Psychiatric Mental Health Nurse PractitionerJob Summary: We are seeking a skilled Psychiatric Mental Health Nurse Practitioner to join our team at Caring Hands Behavioral Health Center. The ideal candidate will provide direct mental health services, including evaluations, treatment, and consultation as appropriate.Key Responsibilities:Analytical...


  • Baltimore, Maryland, United States Summit Medical Staffing Nursing Full time

    Summit Medical Staffing Nursing is seeking a travel nurse for a psychiatric position in Maryland. The job requires a 13-week commitment with 40 hours per week, working 8-hour evening shifts. This travel nursing opportunity includes a tax-free stipend and benefits such as medical, dental, and vision coverage. Job DetailsSpecialty: PsychiatricJob Location:...


  • Baltimore, Maryland, United States OneStaff Medical Full time

    OneStaff Medical is seeking a travel nurse RN Psychiatric for a travel nursing job in a dynamic healthcare setting.Job DetailsSpecialty: PsychiatricDiscipline: RNDuration: 13 weeks40 hours per weekShift: 8 hours, eveningsEmployment Type: TravelAs a travel nurse RN Psychiatric, you will have the opportunity to work with a variety of patients and healthcare...


  • Baltimore, Maryland, United States Health Care for the Homeless Full time

    Job Title: Psychiatric Nurse PractitionerHealth Care for the Homeless is seeking a skilled Psychiatric Nurse Practitioner to join our team. As a Psychiatric Nurse Practitioner, you will provide high-quality, patient-centered care to individuals experiencing homelessness.Key Responsibilities:Provide comprehensive psychiatric services to homeless individuals,...


  • Baltimore, Maryland, United States LifeBridge Health Full time

    Job Summary: As a member of the patient care team, the RN provides safe, age-appropriate patient care and functions as an advisor and resource for patients and their families.Unit Overview: Our 24-bed short stay stabilization unit offers a supportive environment for patients to receive high-quality care.Responsibilities:Provide direct patient care, including...


  • Baltimore, Maryland, United States Morgan State University Full time

    Job Title: CICS Student Services SpecialistMorgan State University is seeking a highly skilled and dedicated Student Services Specialist to join our team in the College of Interdisciplinary and Continuing Studies (CICS). This role will provide exceptional support to adult learners, university-wide staff and faculty, and external stakeholders in admissions,...