Utilization Review Specialist - Lafayette, United States - Denver Springs

Denver Springs Lafayette, United States

1 week ago

Description

Location 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 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 - We've partnered with UKG Wallet, a voluntary Earned WageAccess benefit, to offer employees access to their pay on their own schedule.

Sycamore Springs is a 44-bed behavioral hospital located in Lafayette, IN.The hospital offers inpatient and outpatient mental health and addictiontreatment to adults, adolescents and their families.

At Sycamore Springs,we are dedicated to Changing People's LivesThe Utilization Review department plays an essential role in helping fulfillour mission of "Changing People's Lives".

Utilization Review teammembers advocate on behalf of our patients to managed care providers fornecessary treatment. As a Utilization Review Specialist, you willaccurately and timely complete utilization review activities.
Position Details
Acts as a liaison between managed care organizations and the facility'sbehavioral health clinical treatment team.
Conducts clinical reviews in accordance with certification requirements ofinsurance plans or other managed care organizations.

Monitors patient length of stay and conducts initial and concurrent reviewswhen indicated to provide clinical information needed to support medicalnecessity criteria for appropriate level of care.

Facilitates peer to peer reviews between the facility treatment provider andthe managed care physician.
Assists the Assessment Department with completion of the precertificationprocess for admissions.
Provides ongoing support and training for staff on documentationrequirements, admission and continued stay criteria, and medical necessityupdates.
Qualifications

Qualifications:
Knowledge of mental health and chemical dependency terminology, symptoms,diagnoses, and treatment.
Ability to communicate effectively with patients, internal and externaltreatment providers, and managed care clinical review care managers.

Ability to multi-task, pay attention to detail, problem solve, utilizecritical thinking skills, prioritize, and work both independently and as apart of a team.

Strong computer skills and ability to navigate electronic systems applicableto job functions.

Requirements:
Bachelor's 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 facilitypreferredEducation and experience in the field(s) of: Social Work,Psychology, Psychiatric Nursing, Marriage and Family and ChildCounseling, Chemical Dependency Counseling, Registered Nursing or aclosely related science field
Equal Opportunity Employer Minorities/Women/Veterans/Disabled
Springstone, Inc. is an Equal Opportunity Employer.

All qualified applicantswill receive consideration for employment without regard to race, color,religion, sex, sexual orientation, gender identity, national origin,or protected veteran status and will not be discriminated against on the basisof disability.

#J-18808-Ljbffr

Utilization Review Specialist

6 days ago

Springstone Lafayette, United States

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 Ti ...
Highway Technician

1 day ago

State of Indiana Crawfordsville, United States

**Work for Indiana**: · Grow your career with the State of Indiana With more than 50 executive branch agencies, the State of Indiana is a diverse workforce offering employees stimulating and challenging projects across a broad scope of career opportunities. As a State of Indiana ...
Specialist, Staffing

5 days ago

Wabash National Corporation Lafayette, United States

Job 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

5 days ago

Subaru of Indiana Automotive, Inc. Lafayette, United States

Compliance 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

5 days ago

Tippecanoe County Government Lafayette, United States

POSITION: 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 ...
case conference coordinator specialist

1 day ago

Lafayette School Corporation Lafayette, IN , USA, United States

Position Type: · GLASS Special Education Services/Specialist Case Conferences · Date Posted: · 5/7/2024 · Location: · Greater Lafayette Area Special Services - GLASSThis is a 1.0 FTE position with the Greater Lafayette Area Special Services for the school year. A Specialist must ...
Youth Development Specialist

1 week ago

Tippecanoe County, IN Lafayette, United States Part time

POSITION: 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

1 week ago

Tippecanoe County, IN Lafayette, United States

POSITION: 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 ...
Especialista en servicio al cliente en tienda

1 week ago

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 resolve a ...
Physical Therapy Aide

5 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 ...
Injury Prevention Specialist

5 days ago

Premise Health Systems Lafayette, United States

Healthcare 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

5 days ago

Evonik Industries Lafayette, United States

The 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

1 week ago

Evonik Industries Lafayette, United States

What 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 ...
Especialista en servicio al cliente en tienda

5 days ago

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

5 days 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 on a ...
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 ...
SAP Techno-Functional Specialist

1 day ago

Subaru of Indiana Automotive Lafayette, United States

SAP 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 ...
Especialista en servicio al cliente en tienda

1 week ago

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 resolve a ...
Branch Wholesale Product Specialist

4 days ago

Sherwin-Williams Lafayette, United States

The 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

1 week ago

Tippecanoe School Corporation Shadeland, IN , USA, United States

Position 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 ...