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Job Discription
Overview
Utilization Review
Salary/Hourly: $23- $31.00/hour
The Utilization Review department plays an essential role in helping fulfill our mission of “Changing People’s 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.
Requirements:
- Bachelor’s degree required
- Master’s in Counseling/Social Work OR Valid RN with Bachelor’s preferred
- Previous utilization review experience in a psychiatric healthcare facility preferred.
Responsibilities:
- 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.
- Work with Director of Nursing to ensure documentation requirements are met
- Interface with managed care organizations, external reviews, and other payers.
Denver Springs is a 96-bed behavioral hospital located near Denver, CO. The hospital offers inpatient and outpatient mental health and addiction treatment to adults, adolescents and their families. At Denver Springs we are dedicated to Changing People’s Lives.
Members of our team Enjoy:
- Working with a highly engaged staff
- Healthy staffing levels
- Flexible scheduling
- Career growth
- Competitive compensation
- Comprehensive benefits including health care, paid time off, etc…
- Daily Pay – We’ve partnered with DailyPay, a voluntary benefit to offer employees access to their pay on their own schedule
Keywords: #UtilizationManagement, #ConcurrentReview, #Authorizations, #CaseManagement, #LevelofCare, #Denials, #Appeals
Equal Opportunity Employer Minorities/Women/Veterans/Disabled
Springstone, Inc. is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against on the basis of disability.
