UTILIZATION REVIEW

Location

Youngstown, OH | United States

Job description

Responsibilities

The Utilization Review Clinician assists the UR Director in the daily functioning of the UR Department, as well as meeting the standards set forth by state and local regulatory bodies. The Utilization Review Clinician will maintain a productive, professional relationship with the medical staff, management team and all other departments. The UR Clinician performs other duties as assigned. The Utilization Review Clinician reports to the Director of Utilization Review.

Education: The educational requirements necessary to be a registered nurse or licensed social worker/therapist. Bachelors’ Degree in Nursing or Social Work from an accredited school is preferred.

Licensure: Current Ohio license as a registered nurse social worker or therapist.

Experience: One year of experience in a psychiatric inpatient setting is preferred.  Prior experience in the utilization review function is highly preferred. The ability to organize tasks related to the accomplishment of hospital goals and objectives.  Ability to work in a professional manner with physicians, mental health professionals, outside agencies, and support staff.

Additional Requirements :  Ability to work with child and adolescent populations as demonstrated through educational accomplishment or work experience. A working knowledge of JCAHO, ODMH, and any other applicable federal and state laws and regulations governing mental health care facilities relating to utilization review. Successful completion of CPR Certification and Physical Crisis Intervention (PCI).  May be required to work flexible hours.

We are Equal Opportunity Employers.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or status as an individual with a disability. We embrace diversity in our people, services and ideas.  While we sincerely appreciate all applications, only candidates selected for an interview will be contacted. 

Belmont Pines offers an excellent time off plan, medical, dental, vision, employee assistance program, life insurance, short and long term disability benefits and 401(k) plan for full time and part time employees.

Belmont Pines is not accepting unsolicited assistance from search firms for this employment opportunity. Please, no phone calls or emails. All resumes submitted by search firms to any employee at Belmont Pines via-email, the Internet or in any form and/or method without a valid written search agreement in place for this position will be deemed the sole property of Belmont Pines. No fee will be paid in the event the candidate is hired by Belmont Pines as a result of the referral or through other means.  Applications are only accepted via the online submission program.  Paper application and resumes are not accepted.

EEO Statement

All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.

We believe that diversity and inclusion among our teammates is critical to our success.

Notice

At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path at UHS and our subsidiaries.  We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you are suspicious of a job posting or job-related email mentioning UHS or its subsidiaries, let us know by contacting us at: or 1-800-852-3449.

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Salary