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Utilization Review Specialist - Arlington, United States - Springstone
Description
OverviewMesaSprings
Utilization Review Specialist
MesaSprings
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.
MesaSprings
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.
Position DetailsActively 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.
This is an onsite role at the Arlington facility.
Qualifications
Requirements:
Current clinical license required (LMSW, LCSW, LPC, LPC-A, RN).LVN considered with psychiatric facility experience
Current Unencumbered Clinical license 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
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