Utilization Review Specialist

2 weeks ago


Wichita, Kansas, United States KVC Health Systems Full time
Job Summary

We are seeking a highly skilled Utilization Review Specialist to join our team at KVC Health Systems. As a key member of our treatment team, you will be responsible for managing patient stays and coordinating with health plans to ensure timely and accurate assessments.

Key Responsibilities:

  • Conduct thorough assessments of patients and develop clinical information for health plans
  • Coordinate with KVC Admissions Department, physicians, nurses, and therapists to ensure timely and accurate assessments
  • Make appropriate referrals for placement and services based on assessments
  • Provide excellent customer service to health plans and patients

Requirements:

  • Bachelor's degree in Social Work, Education, Sociology, Psychology, Counseling, or Criminal Justice/Criminology
  • Two years' experience in case management or utilization review, with at least one year working with economically disadvantaged, vulnerable, or at-risk youth and/or adults
  • Valid driver's license and auto insurance

Benefits:

  • Medical, vision, and dental insurance
  • Life insurance and long-term and short-term disability coverage
  • 403(b) retirement plan with company match
  • Tuition reimbursement and professional license renewal and CEU reimbursement
  • Paid Time Off (PTO) plan

About KVC Health Systems:

KVC Health Systems is a private, nonprofit organization and a subsidiary of KVC Health Systems. We are committed to making a difference in the lives of children, adults, and families.



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