Utilization Review Specialist PRN
Location
Carrollton, TX | United States
Job description
Carrollton Springs
PRN Utilization Review Specialist
Carrollton Springs is a 78-bed behavioral hospital located near Carrollton, TX . The hospital offers inpatient and outpatient mental health and addiction treatment to adults, adolescents and their families. At Carrollton Springs we are dedicated to Changing People’s 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
- 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.
- 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.
Requirements:
- Bachelor’s degree or current clinical license required or license in lieu of 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
Job tags
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