Clinical Utilization Specialist - Insurance Reviews

Universal Health Services; Plymouth (IN); On-site; USD 60,000 - 80,000; Full time

Job summary

Michiana Behavioral Health, part of Universal Health Services, seeks a full-time Utilization Management Specialist to coordinate admissions, reviews and data support within a behavioral health setting.

The role involves collaborating with physicians, discharge planning and external reviewers, with a focus on quality documentation and patient advocacy. Growth opportunities and comprehensive benefits are highlighted.

Qualifications

• Bachelor's degree in a related field a plus.
• One to three years of healthcare experience required.
• Certification in Utilization Management a plus.
• Knowledge of regulatory and insurance required.
• Excellent documentation skills.
• Advocate for patient's rights and treatment.

Responsibilities

• Process admissions into the utilization management system.
• Conduct admission and concurrent reviews.
• Maintain statistics and data as requested/required.
• Attend Treatment Team meetings.
• Assists physicians with calls as needed.

Skills

Documentation skills

Regulatory knowledge

Insurance knowledge

Advocacy for patient rights

Education

Bachelor's degree in a related field

Certification in Utilization Management

Job description

Michiana Behavioral Health, part of Universal Health Services, seeks a full-time Utilization Management Specialist to coordinate admissions, reviews and data support within a behavioral health setting.

The role involves collaborating with physicians, discharge planning and external reviewers, with a focus on quality documentation and patient advocacy. Growth opportunities and comprehensive benefits are highlighted.