Job description
Overview:
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:
Members of our team Enjoy:
Utilization Review
Salary/Hourly: $23- $31.00/hour
Denver Springs Summary of Benefits Link
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:
- Master's in Counseling/Social Work OR Valid RN with Bachelor's
- 3-4 years clinical experience
- 1-2 years utilization review experience
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...
- 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.
Keywords: #UtilizationManagement, #ConcurrentReview, #Authorizations, #CaseManagement, #LevelofCare, #Denials, #Appeals
learninglandscape.com is the go-to platform for job seekers looking for the best job postings from around the web. With a focus on quality, the platform guarantees that all job postings are from reliable sources and are up-to-date. It also offers a variety of tools to help users find the perfect job for them, such as searching by location and filtering by industry. Furthermore, learninglandscape.com provides helpful resources like resume tips and career advice to give job seekers an edge in their search. With its commitment to quality and user-friendliness, learninglandscape.com is the ideal place to find your next job.