Utilization Review Specialist

3 weeks ago


Arlington, United States CareerBuilder Full time

Overview

MesaSprings
Utilization Review Specialist
MesaSprings

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 staff
Healthy staffing levels
Flexible scheduling
Career growth
Competitive compensation
UKG 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 Details

Actively Communicate with interdisciplinary team members to acquire information and give updates on authorizations
Ensure 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 met
Interface with managed care organizations, external reviews, and other payers.
This is an onsite role at the Arlington facility.

Qualifications

Requirements:
Current clinical license required (LMSW, LCSW, LPC, LPC-A, RN).LVN considered with psychiatric facility experience
Current Unencumbered Clinical license and valid drivers license
CPR and CPI Certification within 30 day of employment
Experience:
Previous utilization review experience in a psychiatric healthcare facility preferred

#J-18808-Ljbffr


  • Utilization Review

    4 weeks ago


    Arlington, United States eTeam Inc Full time

    Job Title: Utilization Review (UR) - Critical Need (REMOTE) Location: Arlington,VA Pay Rate: $55/hr to $60/hr on W2 (Negotiable) Duration: 24 Weeks Qualification: 1year experience in Utilization Review (UR) in last three years. Certifications: BLS State Licence

  • Utilities Manager

    2 weeks ago


    Arlington Heights, United States PharmEng Technology Americas Full time

    Job DescriptionJob DescriptionPharmEng Technology has been providing quality services to leading manufacturers of healthcare and pharmaceutical products since 1997. Our specialists hold expertise in Commissioning & Qualification, Validation, Quality Systems, Regulatory Affairs, Engineering, and Training to ensure that our clients can keep on providing the...

  • it specialist

    2 weeks ago


    Arlington, Virginia, United States Department Of The Army Full time

    Summary About the Position:In this role you will serve as and IT Specialist (APPSW) applying skills and knowledge and/or experience in the design, development and implementation of application and Enterprise Resource Planning (ERP) systems.This is a Direct Hire Authority (DHA) solicitation utilizing the DHA for Certain Personnel of the DoD Workforce to...

  • IT Specialist

    2 weeks ago


    Pentagon, Arlington, United States Department Of The Army Full time

    Summary This is a Direct Hire Authority (DHA) solicitation utilizing the DHA for Cybersecurity & Related Positions (OPM) to recruit and appoint qualified candidates to positions in the competitive service.About the Position: Serves as a senior Information Technology (IT) Specialist (System Administrator) and Technical Advisor to the Chief, Program Budget...


  • Arlington, United States C&M Associates Full time

    **Senior Transportation Specialist - Arlington, VA** **Job Description:** C&M Associates, Inc. is seeking a Senior Transportation Specialist for our Arlington, VA office. Responsibilities will include: * Perform and manage traffic revenue studies applying socioeconomic and travel demand analysis. * Analyze travel characteristics for planned and existing toll...


  • Arlington, United States LAUNCHTECH Full time

    Job DescriptionJob DescriptionNOTE: Must be a US Citizen to be considered for this positionOverviewWe are seeking a Documentation Specialist, an essential member of a team supporting Hybrid Agile development projects within a Software Development and Support program that utilizes ServiceNow’s Enterprise Service Management (ESM) platform for a federal...

  • IT Specialist

    1 week ago


    Pentagon, Arlington, United States Department Of The Army Full time

    Summary This is a Direct Hire Authority (DHA) solicitation utilizing the DHA for Cybersecurity & Related Positions (OPM) to recruit and appoint qualified candidates to positions in the competitive service. About the Position: Serves as a senior Information Technology (IT) Specialist...


  • Arlington, United States U.S Comm for Refuge Full time

    Job DescriptionJob DescriptionSUMMARY: One of the primary responsibilities of the HR Training Specialist is the implementation of the US Committee for Refugees and Immigrants (USCRI) internal policies and procedures providing policy clarification to staff and adjusting existing policies, as required by federal and state laws. The HR Training Specialist also...

  • Senior RCM Specialist

    2 weeks ago


    Arlington, United States Advantia Health Full time

    The Senior RCM Specialist is responsible for Practice-level RCM operations, including prior authorization, coding, charge entry, billing, patient collections, denials management, and ensuring the Practice receives all payment it is entitled to for the services it provides. Although this is an individual contributor role, the position will work closely with...


  • Arlington, United States Silo Smashers Full time

    Contract Specialist II SiloSmashers is seeking an experienced Contracts Specialist to support our federal law enforcement client with contract, acquisition, and procurement support within their Prisoners Operations Division (POD). SiloSmashers enables our federal client to establish national strategies and programs providing for the housing, transportation,...


  • Arlington, United States Organizational Development Resource Group Full time

    Include, but not limited to:Log C - Ns submitted by the Implementing Agencies (IA) into the status listing, updating throughout processing. Review incoming CN packages to ensure compliance with AECA requirements; accuracy; correct formatting; etc. If Specialist, Technology


  • Arlington, United States SiloSmashers Full time

    Job DescriptionJob DescriptionContract Specialist IISiloSmashers is seeking an experienced Contracts Specialist to support our federal law enforcement client with contract, acquisition, and procurement support within their Prisoners Operations Division (POD). SiloSmashers enables our federal client to establish national strategies and programs providing for...


  • Arlington, United States Unavailable Full time

    Overview Systems Planning and Analysis, Inc. (SPA) delivers high-impact, technical solutions to complex national security issues. With over 50 years of business expertise and consistent growth, we are known for continuous innovation for our government customers, in both the US and abroad. Our exceptionally talented team is highly collaborative in spirit and...


  • Arlington, United States The University of Texas at Arlington Full time

    Job Summary Provides Post-Award guidance in the administration and processing of external and internal sponsored projects. Provides support to researchers, departmental and center/institute administrators, regarding the reasonableness, allow ability and allocability of grant related expenses, budget changes/revisions, and other compliance activities....

  • Project Manager

    3 weeks ago


    Arlington, United States Infra-Rec Full time

    Job DescriptionJob DescriptionJob Description: As a Project Manager specializing in Utility Scale Solar Construction, you will be responsible for overseeing and managing the execution of large-scale solar projects from initiation to completion. Working remotely, you will collaborate with cross-functional teams, subcontractors, and clients to ensure projects...


  • Arlington, United States Cape Fox Corporation Full time

    Job Title Administrative Specialist IV Job Description Administrative Specialist IV Work Location: Arlington, VA Cape Fox subsidiary Kwaan Tech is seeking an experienced Administrative Specialist IV to join our team. The Admin Specialist IV (ASIV) supports the High Threat Programs (HTP) Directorate in the Bureau of Diplomatic Security (DS). The Admin...


  • Arlington, United States Piper Companies Full time

    CONTRACTS SPECIALIST (SECRET-CLEARED) Join the dynamic team at Zachary Piper Solutions as a Contracts Specialist. We're dedicated to driving pivotal investments in breakthrough technologies for national security through contract administration, grants, and strategic transactions. Location: Arlington, VA (Hybrid: 1 day onsite) Responsibilities: As a Contracts...


  • Arlington, United States ECS Full time

    ECS is seeking an Infrastructure Planner / Relocation Specialist to work in our Crystal City, VA office. Job Description: Lead the development of client facilities and infrastructure requirements throughout the life cycle via creative approaches which achieve desired functional end-states. Develop innovative solutions to complex problems based on...

  • Collection Specialist

    2 weeks ago


    Arlington, United States Professional Alternatives Full time

    Job DescriptionJob DescriptionCollection SpecialistArlington, TXHybrid$23 - $25/hourIn office - Monday - Friday 8am - 5pmSAP and Billtrust experience a PlusComfortable using multiple platforms to complete credit and collection tasks.Handle incoming credit applications, reviewing for accuracy and completeness, create files using a variety of reports and...


  • Arlington, United States Sparks Personnel Services, Inc. Full time

    Manage NDA/ TA requests from initiation to final signature. Tailor NDA/ TA documents using standard templates and opportunity details. Verify external company status in relevant databases. Facilitate document review & negotiation with external compan Specialist, Healthcare, Staffing