Clinical Utilization Review Advocate (Psychiatric)

National Park Medical Center; Hot Springs (AR); On-site; USD 55,000 - 75,000; Full time

Benefits offered by this job

Health, Dental, Vision + 401K

Competitive PTO

Disability coverage

Employee Assistance Program

Education reimbursement

Professional development

Job summary

National Park Medical Center is seeking a Utilization Review Specialist to assess admissions and continued stays, ensuring appropriate care and coding for payers. You will examine records for medical necessity and communicate with case managers to coordinate approvals and denials.

The role requires a bachelor’s degree with preference for a master’s, and a licensed clinician; CPR and CPI training are valued. A full-time position in Hot Springs, AR offers comprehensive benefits and career growth.

Qualifications

• Bachelor’s degree required; Master’s degree preferred.
• Current unencumbered clinical license preferred.
• CPR certification and CPI training preferred.

Responsibilities

• Facilitates clinical reviews on patient admissions and continued stays.
• Analyzes patient records to determine legitimacy of admission, treatment, and length of stay.
• Interface with managed care organizations, external reviewers, and other payers.

Skills

CPR certification

CPI training

Education

Bachelor’s degree

Master’s degree

Job description

National Park Medical Center is seeking a Utilization Review Specialist to assess admissions and continued stays, ensuring appropriate care and coding for payers. You will examine records for medical necessity and communicate with case managers to coordinate approvals and denials.

The role requires a bachelor’s degree with preference for a master’s, and a licensed clinician; CPR and CPI training are valued. A full-time position in Hot Springs, AR offers comprehensive benefits and career growth.