Utilization Review Specialist
Job Location:
Job Location:
Towson, MD - USA
Monthly Salary:
Not Disclosed
Monthly Salary:
Posted on:
30+ days ago
Posted on:
Vacancies:
1 Vacancy
Vacancies:
Job Summary
General Summary:
- Responsible for supporting the utilization review system including data analysis report writing and program improvement.
- UR Specialist will develop and maintain a VOD Tracking and Receipt system.
- UR Specialist will maintain an expert level review of client entitlements and billing authorizations.
- Also responsible for securing authorizations and tracking entitlements for enrolled clients.
Knowledge Skills and Abilities Required:
- Knowledge of the public mental health system and programs generally acquired through a bachelors degree in Social Work or Psychology or related degree OR (2) years related work experience.
- Knowledge of computers and spreadsheet software.
- Experience with Maryland ASO or other utilization review processes.
- Substantial level of interpersonal skills in order to communicate effectively with outside agencies and internal customers.
- Good assessment and clinical skills including a preeminent knowledge of the rehabilitation model.
- Excellent organization skills.
Benefits:
At Sheppard Pratt you will work alongside a multi-disciplined team led by a bold vision to change lives. We offer:
- A commitment to professional development including a comprehensive tuition reimbursement program to support ongoing education and licensure and/or certification preparation
- Comprehensive medical dental and vision benefits for benefit eligible positions
- 403b retirement match
- Generous paid-time-off for benefit eligible positions
- Complimentary Employee Assistance Program (EAP)
- Generous mileage reimbursement program
The pay range for this position is $18.50/hr minimum to $26.04/hr maximum. Pay for this position is determined on a number of factors including but not limited to years and level of related experience.
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Required Experience:
IC
About Company
Sheppard Pratt offers inpatient, outpatient, home-based, school, and residential programs. Our programs and mental health services make healing a reality.
