Job Opportunities in United States


November 7, 2024

Lifepoint Health

Carrollton

FULL TIME


Utilization Review Specialist - Behavioral Health

Overview:
Carrollton Springs
Utilization Review Specialist - Behavioral Health
Full-Time Days

Carrollton Springs, part of Lifepoint Behavioral Health, nationally known healthcare organization with diversified delivery network with facilities from coast to coast, seeks passionate, patient-centric, and goal-oriented team members to join our team. We specialize in compassionate behavioral health services for child/adolescent and adult populations, including crisis stabilization for acute mental health and substance use treatment. Our philosophy is built on a psychosocial model of care to decrease suicide rates, decrease addiction-related deaths, reverse the decline in life expectancy, and improve productivity in the communities we serve. We offer a collaborative work environment, competitive compensation, and flexible scheduling so you can focus on what matters–providing quality patient care. Join our team in Carrollton,Texas, to build a career that touches lives.

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.

Members of our team Enjoy:
  • Working with a highly engaged staff
  • Healthy staffing levels
  • Flexible scheduling
  • Career growth
  • Competitive compensation
  • Daily Pay - We’ve partnered with Daily Pay, a voluntary 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.
Qualifications:
Requirements:
  • Bachelor’s degree
  • Current unencumbered clinical licensure and valid driver’s license
  • CPR and CPI Certification within 30 day of employment
Experience:
  • Previous utilization review experience in a psychiatric healthcare facility preferred

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