Utilization Review Specialist

3 weeks ago


Arlington, United States Springstone Full time

OverviewMesaSpringsUtilization Review SpecialistMesaSprings is a 72-bed behavioral hospital located in Fort Worth, TX.The hospital offers inpatient and outpatient mental health and addiction treatment to adults, adolescentsand their families. At MesaSprings we are dedicated to Changing Peoples Lives.The Utilization Review department plays an essential role in helping fulfill our mission of Changing Peoples Lives. Utilization Review team members advocate on behalf of our patients to managed care providers for necessary treatment. As a Utilization Review Specialist, you will accurately and timely complete utilization review activities.Members of our team enjoy:Working with a highly engaged staffHealthy staffing levelsFlexible schedulingCareer growthCompetitive compensationUKG Wallet - We've partnered with UKG Wallet, a voluntary Earned Wage Access benefit, to offer employees access to their pay on their own schedule.Position DetailsActively Communicate with interdisciplinary team members to acquire information and give updates on authorizationsEnsure all pre-certifications are completed for inpatient and outpatient services.Monitor hospital LOS, report appropriately.Work with Director of Nursing to ensure documentation requirements are metInterface with managed care organizations, external reviews, and other payers.This is an onsite role at the Arlington facility.QualificationsRequirements:Current clinical license required (LMSW, LCSW, LPC, LPC-A, RN).LVN considered with psychiatric facility experienceCurrent Unencumbered Clinical license and valid drivers licenseCPR and CPI Certification within 30 day of employmentExperience:Previous utilization review experience in a psychiatric healthcare facility preferred#J-18808-Ljbffr

by Jobble


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