-
Utilization Review Specialist
5 days ago
Denver Springs Lafayette, United StatesLocation field must contain 'city, state' or a zip code to perform a radius search (e.g., · Denver, CO · or · City and state must be separated by a comma followed by a space (e.g., · Houston, TX ) · Overview · Sycamore Springs Fully In-Person Role Utilization Review Special ...
-
Specialist, Staffing
2 days ago
Wabash National Corporation Lafayette, United StatesJob Description · About the Role: · Staffing Specialist responsibilities include advertising job openings across multiple channels and sourcing, attending job fairs, coordinating interviews, and conducting interviews. To be successful in this role, you should have an experience i ...
-
Compliance Specialist
2 days ago
Subaru of Indiana Automotive, Inc. Lafayette, United StatesCompliance Specialist · Environmental Compliance and Energy · Company Overview: · Subaru of Indiana Automotive, Inc. or "SIA", located in Lafayette, Indiana, is the only Subaru vehicle manufacturing facility outside of Japan. SIA is a 4.4 million square foot automotive OEM - mea ...
-
Environmental Health Specialist
2 days ago
Tippecanoe County Government Lafayette, United StatesPOSITION: Environmental Health Specialist · DEPARTMENT: Health · SALARY: $2,433.15 Bi-weekly · Incumbent serves as Environmentalist/Food, Swimming Pools for the Tippecanoe County Health Department, responsible for enforcing federal, state, and local environmental health regula ...
-
Youth Development Specialist
4 days ago
Tippecanoe County, IN Lafayette, United States Part timePOSITION: Youth Development Specialist · DEPARTMENT: Cary Home · WORK SCHEDULE: Hours as assigned · SALARY: $1,333.97 Biweekly · Incumbent serves as Youth Development Specialist for the Tippecanoe County Cary Home, responsible for interacting with youth to improve engagement in h ...
-
Youth Development Specialist
4 days ago
Tippecanoe County, IN Lafayette, United StatesPOSITION: Youth Development Specialist · DEPARTMENT: Cary Home · WORK SCHEDULE: Hours as assigned · SALARY: $1,667.46 Biweekly · Incumbent serves as Youth Development Specialist for the Tippecanoe County Cary Home, responsible for interacting with youth to improve engagement in h ...
-
Sherwin-Williams Lafayette, United StatesCustomer Service Specialists work closely with wholesale and retail customers to determine their needs, answer their questions about Sherwin-Williams products, and recommend the right solutions. Store associates Customer Service Specialists are also expected to promptly resolve a ...
-
Injury Prevention Specialist
2 days ago
Premise Health Systems Lafayette, United StatesHealthcare Without Rival · Premise Health is the world's leading direct healthcare provider and one of the largest digital providers in the country, serving over 11 million eligible lives across more than 2,500 of the largest commercial and municipal employers in the U.S. Premise ...
-
Plant Specialist
2 days ago
Evonik Industries Lafayette, United StatesThe Utilities Plant Specialist provides operational, technical, and maintenance support for the Utilities Department. Learn on all aspects of the area systems to ensure consistent support operation to the site. Facilitate equipment maintenance, changes, and improvements. Coordina ...
-
Maintenance Coordinator
4 days ago
Evonik Industries Lafayette, United StatesWhat we offer · You will work on exciting and challenging topics together with a team in an ultra-modern, innovative and creative environment. Intensive on-the-job training with expert colleagues guarantees you will quickly become familiar with your duties and perform them indepe ...
-
Sherwin-Williams Lafayette, United States· Customer Service Specialists work closely with wholesale and retail customers to determine their needs, answer their questions about Sherwin-Williams products, and recommend the right solutions. Store associates Customer Service Specialists are also expected to promptly resolv ...
-
Lafayette Site EHS Leader
2 days ago
GE Aerospace Lafayette, United StatesJob Description Summary · The Site Environmental Health and Safety Leader reports to the GE Lafayette Plant Leader and works in a self-directed teaming structure. This person will work closely with the EHS Specialist and EHS Council to create a site EHS strategy and execute on a ...
-
SAP Techno-Functional Specialist
6 days ago
Subaru of Indiana Automotive Lafayette, United StatesSAP Techno-Functional Specialist · Information Systems Section · Company Overview: · Subaru of Indiana Automotive, Inc. or "SIA", located in Lafayette, Indiana, is the only Subaru vehicle manufacturing facility outside of Japan. SIA is a 4.4 million square foot automotive OEM ...
-
Lafayette Site EHS Leader
1 week ago
GE Aerospace Lafayette, United States**Job Description Summary** · The Site Environmental Health and Safety Leader reports to the GE Lafayette Plant Leader and works in a self-directed teaming structure. This person will work closely with the EHS Specialist and EHS Council to create a site EHS strategy and execute o ...
-
Sherwin-Williams Lafayette, United StatesCustomer Service Specialists work closely with wholesale and retail customers to determine their needs, answer their questions about Sherwin-Williams products, and recommend the right solutions. Store associates Customer Service Specialists are also expected to promptly resolve a ...
-
Physical Therapy Aide
2 days ago
ATI Physical Therapy Lafayette, United States**Overview****Full-Time Physical Therapy Aide/ Operations Specialist Support/Rehab Tech:****On/Call/PRN****Stronger Together:**ATI is the largest outpatient orthopedic physical therapy company under one brand, growing to over 900 locations in 24 states. We continue to preserve ou ...
-
Night Shelter Advocate
6 days ago
YWCA Greater Lafayette Lafayette, United StatesJob Description · Job DescriptionYWCA Greater Lafayette605 N. 6th St. · Lafayette, IN 47901 · P · YWCA Greater Lafayette Job Description · Title: DVIPP Shelter Night Advocate FLSA Status: Exempt · Department: Domestic Violence Intervention and Prevention Program Reports to: Le ...
-
Branch Wholesale Product Specialist
2 days ago
Sherwin-Williams Lafayette, United StatesThe individual selected for this role will be expected to work at Store #3879, located at: 2308 Concord Rd. Lafayette IN, 47909 · This position works closely with commercial paint customers to determine their needs, answer their questions about Sherwin-Williams products, and reco ...
-
sub school nurse
4 days ago
Tippecanoe School Corporation Shadeland, IN , USA, United StatesPosition Type: · Substitute · Date Posted: · 6/29/2023 · Location: · Tippecanoe School Corporation · Date Available: · School Year · Closing Date: · 05/24/2024Any candidate recommended for hire will be asked to complete an expanded criminal history clearance at their cost (starti ...
-
Technical Customer Support Specialist
4 days ago
Simpson Strong-Tie Company, Inc. Lafayette, United StatesSimpson Strong-Tie is a leader in engineered structural connectors, software, and solutions for the building industry. We maintain a reputation as a trusted manufacturer, partner, and corporate citizen committed to our customers and employees. · Our founder, Barc Simpson establi ...
Utilization Review Specialist - Lafayette, United States - Springstone
Description
OverviewSycamore Springs*Fully In-Person Role*Utilization Review SpecialistFull Time, Monday-FridayMembers of our team Enjoy:Working with a highly engaged staffHealthy staffing levelsFlexible schedulingCareer growthCompetitive compensationHealth, Vision, Dental, 401k, and Paid Time OffUKG Wallet Weve partnered with UKG Wallet, a voluntary Earned Wage Access benefit, to offer employees access to their pay on their own schedule.
At SycamoreSprings, we are dedicated to Changing Peoples LivesThe 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.Position DetailsActs as a liaison between managed care organizations and the facilitys behavioral health clinical treatment team.
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