Utilization Review Specialist
2 weeks ago
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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