Utilization Review Specialist - Inpatient Psychiatry

Lifepoint Health®; Lafayette (IN); Vor Ort; USD 60.000 - 84.000; Vollzeit

Benefits dieser Stelle

Health insurance

401K benefits

Paid time off

Employee assistance program

Tuition reimbursement

Zusammenfassung

Sycamore Springs, part of Lifepoint Health, in Layfette, IN, seeks a dedicated Utilization Review Specialist to conduct clinical reviews of admissions and continued stays, advocating for patient access and coordinating with managed care. A Bachelor's Degree is required, with UR experience in psychiatric care preferred.

The role supports a broad patient-care mission and a collaborative treatment team. Eligible candidates will enjoy Lifepoint Health's comprehensive benefits and opportunities for

Qualifikationen

• Bachelor's Degree required.
• Previous utilization review experience in a psychiatric healthcare facility preferred.

Aufgaben

• Facilitates clinical reviews on all patient admissions and continued stays.
• Analyzes patient records to determine legitimacy of admission, treatment, and length of stay.
• Interfaces with managed care organizations, external reviewers and other payers.
• Advocates on behalf of patients with substance abuse, dual diagnosis, psychiatric or emotional disorders to managed care providers.
• Contacts external case managers/managed care organizations for certification of insurance benefits during stay.
• Assists the treatment team in understanding requirements for continued stay and discharge planning.

Ausbildung

Bachelor's Degree

Jobbeschreibung

Sycamore Springs, part of Lifepoint Health, in Layfette, IN, seeks a dedicated Utilization Review Specialist to conduct clinical reviews of admissions and continued stays, advocating for patient access and coordinating with managed care. A Bachelor's Degree is required, with UR experience in psychiatric care preferred.

The role supports a broad patient-care mission and a collaborative treatment team. Eligible candidates will enjoy Lifepoint Health's comprehensive benefits and opportunities for