-
Utilization Review Specialist
2 weeks ago
Springstone, Inc Ft. Worth, United StatesMesa Springs is a 72-bed behavioral hospital located in Fort Worth, TX. The hospital offers inpatient and outpatient mental health and addiction treatment to adults, adolescents and their families. At Mesa Springs we are dedicated to Changing People's Lives. · Mesa Springs is lo ...
-
Utilization Review Specialist
3 weeks ago
Mesa Springs Fort Worth, United StatesOverview: · Mesa Springs is a 72-bed behavioral hospital located in Fort Worth, TX. The hospital offers inpatient and outpatient mental health and addiction treatment to adults, adolescents and their families. At Mesa Springs we are dedicated to Changing Peoples Lives. · Mesa S ...
-
OCOK Utilization Review Specialist
3 weeks ago
ACH Child and Family Services Fort Worth, United StatesPosition Function : Responsible for ensuring that youth receive the most appropriate level of residential services for well-being and to achieve permanency. Responsible for ensuring that exceptional services and/or placement waivers are secured and reviewed, with all deadlines me ...
-
OCOK Utilization Review Specialist
3 weeks ago
Shelby American Inc Fort Worth, United StatesPosition Function : Responsible for ensuring that youth receive the most appropriate level of residential services for well-being and to achieve permanency. Responsible for ensuring that exceptional services and/or placement waivers are secured and reviewed, with all deadlines me ...
-
OCOK Utilization Review Specialist
3 weeks ago
Shelby American Inc Fort Worth, United StatesPosition Function · : · Responsible for ensuring that youth receive the most appropriate level of residential services for well-being and to achieve permanency. Responsible for ensuring that exceptional services and/or placement waivers are secured and reviewed, with all deadli ...
-
Utilization Review Specialist
4 weeks ago
Carrollton Springs Carrollton, United StatesOverview: · Carrollton Springs is a 72-bed behavioral hospital located 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 Peoples Lives ...
-
Director, Credit Risk Review Specialist
11 hours ago
Citigroup Inc Irving, United StatesGlobal Risk Review (GRR) provides independent, objective, reliable, valued and timely assurance to the Boards, the Committees, the Citigroup Chief Risk Officer, the Citigroup Chief Credit Officer, senior management and regulators over the effectiveness of credit, capital and coll ...
-
Director, Credit Risk Review Specialist
1 week ago
Citigroup Inc Irving, United StatesGlobal Risk Review (GRR) · provides independent, objective, reliable, valued and timely assurance to the Boards, the Committees, the Citigroup Chief Risk Officer, the Citigroup Chief Credit Officer, senior management and regulators over the effectiveness of credit, capital and c ...
-
Bill Review Specialist II
4 weeks ago
AmTrust Financial Services, Inc. Dallas, United StatesOverview · Responsible for assisting with all administrative aspects of Legal e-Billing program. Assists e-Billing unit to ensure timely and proper payment of legal invoices. Communicates directly with law firm vendors with respect to billing and payment inquiries. Assists with v ...
-
Dermatology Nurse Practitioner
1 week ago
Hire Solutions Fort Worth, United States**Dermatology Nurse Practitioner** · **Location: Fort Worth, TX** · **Full-time Monday-Friday** · - MedElite provides innovative solutions for skilled nursing facilities by partnering with long-term care providers and clinicians for the benefit of the facilities, the specialists, ...
-
Director, Credit Risk Review Specialist
1 week ago
Hispanic Technology Executive Council Irving, United StatesGlobal Risk Review (GRR) provides independent, objective, reliable, valued and timely assurance to the Boards, the Committees, the Citigroup Chief Risk Officer, the Citigroup Chief Credit Officer, senior management and regulators over the effectiveness of credit, capital and coll ...
-
Director, Credit Risk Review Specialist
2 days ago
Citigroup Irving, TX, United StatesGlobal Risk Review (GRR) provides independent, objective, reliable, valued and timely assurance to the Boards, the Committees, the Citigroup Chief Risk Officer, the Citigroup Chief Credit Officer, senior management and regulators over the effectiveness of credit, capital and coll ...
-
Director, Credit Risk Review Specialist
3 weeks ago
Citigroup Inc Irving, United States**Global Risk Review (GRR)** provides independent, objective, reliable, valued and timely assurance to the Boards, the Committees, the Citigroup Chief Risk Officer, the Citigroup Chief Credit Officer, senior management and regulators over the effectiveness of credit, capital and ...
-
BIM-Overall Coordinator
1 week ago
Atlas Dynamics Edgecliff Village, United StatesBIM-Total Coordinator (m/f/d) for our Infrastructure Division in Edgecliff Village · We are currently seeking a BIM-Total Coordinator (m/f/d) to join our Infrastructure Division in Edgecliff Village. This is a full-time or part-time position starting immediately. · In this role, ...
-
Environmental Protection Specialist
3 weeks ago
Federal Aviation Administration Fort Worth, United StatesSummary · This position will be filled at offices located in the Southwest Region, Planning and Programming Branch. · Duties · Performs multiple, varying and complex assignments under the limited directions of a manager, project/program manager, team leader or more experienced ...
-
Pediatrix Fort Worth, United StatesOverview: · Maternal-Fetal Medicine of Texas, part of Pediatrix Medical Group, is a group of maternal-fetal specialists who provide care for women with high-risk pregnancies in the Fort Worth, Tarrant County Metroplex and surrounding areas as far north as Oklahoma; west to San An ...
-
Client Services
4 weeks ago
CornerStone Staffing Fort Worth, United States TempCornerStone Staffing is currently recruiting for Client Services Back Office Operations Support Specialist for a long term contract opportunity with a premier auto finance company in the North Fort Worth area. This is an excellent opportunity to "get your foot in the door" with ...
-
Nuclear Med Specialist
2 weeks ago
Medical City Fort Worth Fort Worth, United StatesIntroduction · Last year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a(an) Nuclear Med Specialist with Medical City Fort Worth you can be a part of an organization that is devoted to giving back · Benefits · Medical City Fort Wort ...
-
Aviation Technical Systems Specialist
2 weeks ago
Federal Aviation Administration Fort Worth, United StatesSummary · Serves as a National Airspace System (NAS) Portfolio and Integration Specialist to support the implementation of NAS projects in the Agency's plan within a geographical area. Serves as a Planning and Requirements Group (PRG) Point of Contact (POC) for external customer ...
-
DIB Specialist
4 weeks ago
Textron Fort Worth, United States Full timeDIB Specialist (Diversity, Inclusion, and Belonging)( Job Number: · Description We're more than aviation experts, we're pioneers. We challenge what's possible. From breaking the sound barrier to advanced tiltrotor systems. Today, Bell is shaping the future of aviation through ...
Utilization Review Specialist - Fort Worth, United States - Springstone
Description
OverviewMesaSprings is a 72-bed behavioral hospital located in Fort Worth, TX.The hospital offers inpatient and outpatient mental health and addiction treatment to adults, adolescentsand their families.
Mesa Springs is looking for a licensed Counselor to join our Utilization Review department This full-time position has a set schedule of Monday to Friday from 8AM to 5PM.
Full-time employees are eligble for PTO, Paid Holidays, 401K, Insurance Benefits & moreThe Utilization Review department plays an essential role in helping fulfill our mission of Changing Peoples 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 staffHealthy staffing levelsFlexible schedulingCareer growthCompetitive compensationUKG Wallet Weve partnered with UKG Wallet, a voluntary Earned Wage Access benefit, to offer employees access to their pay on their own schedule.
Conducts clinical reviews in accordance with certification requirements of insurance plans or other managed care organizations.
Monitors patient length of stay and conducts initial and concurrent reviews when indicated to provide clinical information needed to support medical necessity criteria for appropriate level of care.
Facilitates peer to peer reviews between the facility treatment provider and the managed care physician.Assists the Assessment Department with completion of the precertification process for admissions.
Provides ongoing support and training for staff on documentation requirements, admission and continued stay criteria, and medical necessity updates.
QualificationsQualifications:
Knowledge of mental health and chemical dependency terminology, symptoms, diagnoses, and treatment.
Ability to communicate effectively with patients, internal and external treatment providers, and managed care clinical review care managers.
Ability to multi-task, pay attention to detail, problem solve, utilize critical thinking skills, prioritize, and work both independently and as a part of a team.
Strong computer skills and ability to navigate electronic systems applicable to job functions.Requirements:
Bachelors degree or current clinical license required in lieu of degreeCPR and CPI Certification within 30 days of employmentExperience:Previous utilization review experience in a psychiatric healthcare facility preferredEducation and experience in the field(s) of: Social Work, Psychology, Psychiatric Nursing, Marriage and Family and Child Counseling, Chemical Dependency Counseling, Registered Nursing or a closely related science field#J-18808-Ljbffr