PRN Utilization Review Specialist Behavioral Health at Lifepoint Health

DescriptionYour experience mattersCollin Springs-Changes Plano is part ofLifepoint Health a diversified healthcare delivery network with facilities coast to coast. We are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others. As a Utilization Review Specialist joining our team youre embracing a vital mission dedicated to making communities healthier. Join us on this meaningful journey where your skills compassion and dedication will make a remarkable difference in the lives of those we serve.How youll contributeAnUtilization Review Specialistwho excels in this role:Displays knowledge of clinical criteria managed care requirements for inpatient and outpatient authorization and advocates on behalf of the patient to secure coverage for needed servicesCompletes pre and re-certifications for inpatient and outpatient services.Reports appropriate denial and authorization information to designated resource.Actively communicates with interdisciplinary team to acquire pertinent information and give updates on authorizations.Participate in treatment teams to ensure staff have knowledge of coverage and to collect information for communication with agencies.Works with DON to ensure documentation requirements are met.Ensure appeals are completed thoroughly and on a timely basis.Interface with managed care organizations external reviews and other payers.Communicate with physicians to schedule peer to peer reviews.Accurately report denials.Why join usWe believe that investing in our employees is the first step to providing excellent patient addition to your base compensation this position also offers:Working with a highly engaged staffHealthy staffing levelsFlexible schedulingCareer growthCompetitive compensationWhat were looking forApplicants should have aBachelors degree (required) Masters degree preferred. Additional requirements include:Current unencumbered clinical license strongly preferredCPR and CPI Certification within 30 day of employmentPrevious utilization review experience in a psychiatric healthcare facility preferred.More about Collin SpringsColling Springsis a 72-bed behavioral health hospitaloffering exceptional care to the McKinney TX community.EEOC StatementCollin Springsis an Equal Opportunity Employer.Collin Springsis committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment.Required Experience:IC Key Skills Accounts Handling,Access,Commissioning,Biotechnology,Civil Engineering,Health And Safety Management Employment Type : Part-Time Experience: years Vacancy: 1