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Utilization Review Specialist Job in Columbus, Ohio US

Utilization Review Specialist

Dublin Springs LLC - Columbus, OH

Posted: 3/28/2024 - Expires: 6/26/2024

Job ID: 271617984

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Job Description

Overview

Columbus Springs East is a 72-bed behavioral hospital located near Columbus, OH. The hospital offers inpatient and outpatient mental health and addiction treatment to adults, adolescents and their families. At Columbus Springs 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

A Comprehensive Benefit package is offered to Full and Part time team members.

Position Details

Actively 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.

Qualifications

Requirements:

Bachelor's Degree preferred
Current unencumbered clinical licensure 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

Equal Opportunity Employer Minorities/Women/Veterans/Disabled

Springstone, Inc. is an Equal Opportunity Employer. All qualified applicants will 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 basis of disability.

Job Summary

Employment Type:
Per Diem Employee
Job type:
Federal Contractor
Skill Based Partner:
No
Education Level:
No school grade completed
Work Days:
Mon, Tue, Wed, Thu, Fri
Job Reference Code
78774289
Salary
N/A
Licenses / Certifications:
N/A
Display Recommended WorkKeys®Recommended WorkKeys®:
Applied Math: 4
Graphic Literacy: 4

Workplace Documentation: 4