Clinical Utilization Specialist
3 days ago
Overview
">Sacramento Behavioral Healthcare Hospital is a leading provider of mental health services in Northern California. We are dedicated to delivering exceptional care and treatment options for adolescents and adults with mental health and co-occurring conditions.
">About the Position
">We are seeking a skilled Clinical Utilization Specialist to join our team. As a Clinical Utilization Specialist, you will work as part of a multi-disciplinary treatment team reviewing patient care and treatment options for both inpatient and outpatient services.
">Responsibilities
">Key responsibilities include conducting admission reviews/pre-authorizations, concurrent stay reviews, payment appeals, recordkeeping, medical necessity assessments, collaboration with clinical teams, denial risk identification, and providing staff training and education.
">Requirements
">The ideal candidate will have a current license as an LCSW, ASW, MFT, LMFT, RN, LPT, LVN, or LPC, and preferably a Master's degree in Social Work, Behavioral Science, or a related field. Demonstrated knowledge of healthcare service delivery systems and third-party reimbursement, experience working in managed care environments, and strong understanding of admission and discharge functions are required.
">Benefits
">We offer a competitive salary range of $45.00-$65.00 per hour, along with a comprehensive benefits package including health insurance, vision insurance, dental insurance, 401(k) retirement plan, healthcare spending account, life insurance, short-term and long-term disability, PTO plan, discounted cafeteria meal plan, and tuition reimbursement.
">Company Overview
">Santa Rosa Behavioral Healthcare Hospital has been serving the community since 2016, offering 144 acute psychiatric inpatient beds and a wide range of mental health services. Our hospital is committed to providing high-quality care and treatment options for patients and their families.
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