Utilization Review Specialist
Utilization Review Specialist
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1 Vacancy
Job Description
Job Title:Utilization Review Specialist
Job Type: FT
Your experience matters
At Oakwood Springs we are committed to empowering and supporting a diverse and determined workforce who can drive quality scalability and significant impact across our hospitals and your role youll support those that are in our facilities who are interfacing and providing care to our patients and community members. We believe that our collective efforts will shape a healthier future for the communities we serve.
How youll contribute
Utilization Review Specialist facilitates clinical reviews on all patient admissions and continued stays. UR analyzes patient records to determine legitimacy of admission treatment and length of stay and interfaces with managed care organizations external reviewers and other payers. UR advocates on behalf of patients with substance abuse dual diagnosis psychiatric or emotional disorders to manage care providers for necessary treatment. UR contacts external case managers/managed care organizations for certification of insurance benefits throughout the patients stay and assists the treatment team in understanding the insurance companys requirements for continued stay and discharge planning.
What we offer
Fundamental to providing great care is supporting and rewarding our addition to your base compensation this position also offers:
- Comprehensive medical dental and vision plans plus flexible-spending and health- savings accounts
- Competitive paid time off
- Income-protection programs such as life accident critical-injury insurance short- and long-term disability and identity theft coverage
- Tuition reimbursement loan assistance and 401(k) matching
- Employee assistance program including mental physical and financial wellness
- Professional development and growth opportunities
Qualifications and requirements
- Bachelors degree required. Masters degree preferred.
- Previous utilization review experience in a psychiatric healthcare facility preferred.
- License: Current unencumbered clinical license preferred.
- Additional Requirements: CPR certification and Crisis Prevention Training (CPI) preferred. May be required to work flexible hours and overtime.
About Us
Oakwood Springs is a 72 - bed hospital located in Oklahoma City OK and is part ofLifepoint Health a diversified healthcare delivery network committed to making communities healthier with acute care rehabilitation and behavioral health facilities from coast to coast. From your first day to your next career milestoneyour experience matters.
EEOC Statement
Oakwood Springsis an Equal Opportunity Employer. Oakwood Springsis committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment.
Required Experience:
Unclear Seniority
Employment Type
Full-Time
