Behavioral Health Utilization Review Specialist

Henderson Hospital; Washington (District of Columbia); On-site; USD 65,000 - 90,000; Full time

Benefits offered by this job

Paid Time Off

Medical Benefits

401K with match

Discounted stock plan

Tuition Reimbursement

Employee Assistance Program

Life Insurance

Flexible Spending Account

Career development

Job summary

The Psychiatric Institute of Washington, part of Universal Health Services, Inc., seeks a detail‑oriented professional to manage admissions, documentation, and coordination with external reviewers across inpatient and outpatient programs.

Responsibilities include guiding treatment planning, ensuring medical necessity documentation, and communicating updates to management. Vaccination and pre-employment checks are required.

Qualifications

• Bachelor’s degree in applicable field of study required.
• Six months psychiatric utilization review either for hospital or external review organization preferred.
• Candidates must meet the company’s hiring criteria to include a pre-employment verifications, background investigation and drug test.

Responsibilities

• Tracks new admissions or transfers to assigned area and is responsible for knowing and following through with certification requirements from admission through discharge.
• Teaches staff to document medical necessity through in-services or individual meetings. Monitors quality of records and notifies staff and program director of problems.
• Supports and guides treatment planning as needed. Ensures documentation flows from and correlates with treatment plan.
• Informs department director of changes in managed care companies and explores opportunities to increase hospital services.

Education

Bachelor’s degree in applicable field of study

Job description

The Psychiatric Institute of Washington, part of Universal Health Services, Inc., seeks a detail‑oriented professional to manage admissions, documentation, and coordination with external reviewers across inpatient and outpatient programs.

Responsibilities include guiding treatment planning, ensuring medical necessity documentation, and communicating updates to management. Vaccination and pre-employment checks are required.