Strategic Psychiatric Utilization Review Specialist

Infor; Marshall (MI); On-site; USD 55,000 - 75,000; Full time

Job summary

A healthcare services company in Marshall, MI is looking for a Utilization Review Specialist. The candidate will perform utilization reviews for inpatient psychiatric services and maintain compliance with insurance requirements. Essential functions include appealing denied days, documenting communications, and acting as a liaison for court matters. A bachelor's degree in Psychology or a related field is required, along with certification in patient management. The role involves potential exposure to infectious diseases and physical lifting requirements.

Qualifications

• Bachelor’s degree or equivalent experience in Psychology or Utilization Review.
• Completion of Handle with Care Basic Certification within two months of hire.
• Master’s degree in Psychology preferred.

Responsibilities

• Perform ongoing review of charts for inpatient psychiatric patients.
• Appeal denied psychiatric days according to approved procedures.
• Document all communications and updates accordingly.
• Act as the court liaison.

Skills

Utilization review

Case management

Telephone triage

Electronic medical records

Education

Bachelor’s degree in Psychology or Utilization Review

Master’s degree in Psychology

Job description

A healthcare services company in Marshall, MI is looking for a Utilization Review Specialist. The candidate will perform utilization reviews for inpatient psychiatric services and maintain compliance with insurance requirements. Essential functions include appealing denied days, documenting communications, and acting as a liaison for court matters. A bachelor's degree in Psychology or a related field is required, along with certification in patient management. The role involves potential exposure to infectious diseases and physical lifting requirements.