Behavioral Health Utilization Review Specialist

Memorial Physician Practices; Tucson (AZ); Hybrid; USD 65,000 - 85,000; Full time

Benefits offered by this job

Comprehensive medical, dental, and vision coverage

401(k) retirement package with company match

Mental and physical wellness programs

Ongoing learning and career advancement opportunities

Job summary

Memorial Physician Practices is hiring a Utilization Review Specialist in Tucson, Arizona, who will facilitate clinical reviews and advocate for patients accessing mental health services. This PRN role involves working with managed care organizations and is vital for ensuring treatment access.

Applicants should possess a Bachelor's degree, with preferred experience in psychiatric facilities. The position emphasizes patient advocacy and proficiency in clinical criteria, offering comprehensive benefits and opportunities for professional development.

Qualifications

• Previous utilization review experience in a psychiatric healthcare facility preferred.
• Current unencumbered clinical license is strongly preferred.
• CPR certification and Crisis Prevention Training (CPI) preferred.

Responsibilities

• Facilitates clinical reviews for patient admissions and stays.
• Analyzes patient records for appropriateness of admission and treatment.
• Advocates for patients with psychiatric or emotional disorders.

Skills

Clinical review facilitation

Patient advocacy

Communication with managed care organizations

Knowledge of clinical criteria

Education

Bachelor’s degree

Master’s degree (preferred)

Job description

Memorial Physician Practices is hiring a Utilization Review Specialist in Tucson, Arizona, who will facilitate clinical reviews and advocate for patients accessing mental health services. This PRN role involves working with managed care organizations and is vital for ensuring treatment access.

Applicants should possess a Bachelor's degree, with preferred experience in psychiatric facilities. The position emphasizes patient advocacy and proficiency in clinical criteria, offering comprehensive benefits and opportunities for professional development.