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  • Posting Date May 14, 2013
  • Closing Date May 31, 2013
  • Contact Name Human Resources
  • Salary N/A
  • Category Healthcare
  • Location Murray, Utah
  • Job Type Full-time
  • Years of Experience N/A
  • Industry N/A
Ad Number 226616
Member Since: Nov 2012
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    Utilization Review Specialist

    Recovery Ways Murray, UT | Posted May 14, 2013

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    Job Description

    UTILIZATION REVIEW SPECIALIST Recovery Ways ??? Murray, Utah Essential Responsibilities 1 Perform utilization review of mental health and substance abuse, for residential, partial hospitalization and intensive outpatient treatment services. Coordinates with other disciplinary staff to facilitate authorization by insurance companies. 2. Assess individuals??? current or proposed treatment plan to identify and address potential barriers to discharge and assist in transitioning care to a lower intensity service setting. 3.. Assess and identify appropriate resource utilization, level of care and treatment options to develop a plan of care that will impact quality outcomes in a cost effective manner. 4. Maintain accurate data entry, tracking logs, status updates, determinations, appeals and denials. 5. Demonstrate an ability to effectively communicate utilization decisions to other healthcare professionals and develop collaborative treatment plans. 6. Effectively cultivate and maintain relationships with all providers of care and other professionals by maintaining effective communications and professional rapport. 7. Train professional clinic and program staff on current principals and standards of practice of Utilization Management, diagnosis and treatment coding and reimbursement methodologies. Job Specifications: ??? 2 years of clinical experience in the delivery of behavioral health care services. ??? Ability to identify utilization needs. ??? Familiar with JCAHO accreditation. ??? Demonstrate verbal and written communication skills using correct grammar, punctuation and spelling. ??? Ability to supervise others. ??? Ability to use standard computer software packages. Position requires Excel skills for measurement purposes and the ability to provide narrative reports as requested by administrative staff in utilization patterns.

    Relocation costs may be covered.

    Requirements

    Job Specifications: ??? 2 years of clinical experience in the delivery of behavioral health care services. ??? Ability to identify utilization needs. ??? Familiar with JCAHO accreditation. ??? Demonstrate verbal and written communication skills using correct grammar, punctuation and spelling. ??? Ability to supervise others. ??? Ability to use standard computer software packages. Position requires Excel skills for measurement purposes and the ability to provide narrative reports as requested by administrative staff in utilization patterns.

    Additional Information

    Email resume to hr@recoveryways.com or fax to 801-365-0998

    Apply Now
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