Behavioral Health Utilization Review Specialist

Clive Behavioral Health; Clive (IA); On-site; USD 65,000 - 90,000; Full time

Benefits offered by this job

Challenging and rewarding work环境

Growth and development opportunities

Competitive compensation

Job summary

Clive Behavioral Health is seeking a dedicated UR Coordinator to support quality care outcomes. You will collaborate with clinicians, case managers, and external organizations to interpret plans and ensure compliant documentation.

The role focuses on admissions screening, treatment planning, discharge planning, and ongoing utilization management, with an on-site schedule Monday through Friday. RN licensure is required.

Qualifications

• Bachelor’s degree from an accredited college or university is required; Nursing degree preferred.
• RN licensure is required; BSN highly preferred.
• Experience in a psychiatric or mental health setting is required.
• Experience with CMS quality improvement guidelines and Medicare/Medicaid processes.
• Experience coordinating with external review organizations or similar entities.

Responsibilities

• Collaborate with healthcare providers, clinical staff, and patients to promote quality care outcomes.
• Interpret treatment plans and medical records in accordance with current standards of care.
• Interface with treatment team, case managers, managed care organizations, and discharge planning—ensuring smooth transitions.
• Oversee admissions screening, establishment of treatment plans, and implementation of discharge planning.
• This position is on-site with full-time hours Monday to Friday.

Skills

Crisis intervention techniques

Patient assessment

Treatment planning

CMS quality improvement guidelines

Medicare/Medicaid liaison

Education

Bachelor’s degree

Registered Nurse license (RN)

BSN preferred

Job description

Clive Behavioral Health is seeking a dedicated UR Coordinator to support quality care outcomes. You will collaborate with clinicians, case managers, and external organizations to interpret plans and ensure compliant documentation.

The role focuses on admissions screening, treatment planning, discharge planning, and ongoing utilization management, with an on-site schedule Monday through Friday. RN licensure is required.