Utilization Review Specialist - Insurance Liaison

Tully Hill Treatment & Recovery; Town of Tully (NY); On-site; USD 37,195 - 52,348; Full time

Benefits offered by this job

Health insurance

401(k) plan

Vacation, sick and personal time

Paid holidays

Company-paid short-term disability insurance

Voluntary dental insurance

Voluntary life insurance

Job summary

A health care provider in New York is seeking a Utilization Review Specialist. The role involves providing clinical information to insurance companies, reviewing medical records, and conducting admission processes. Candidates should hold an RN, LPN licensure or similar certification and possess strong communication skills. This full-time position offers competitive hourly pay and a comprehensive benefits package in a supportive environment focused on helping individuals with substance use disorders.

Qualifications

• Experience in utilization review or managed care is preferred.
• Comply with CARF standards and NYS OASAS regulations.

Responsibilities

• Provide clinical and medical information for insurance coverage.
• Review medical records for necessary information completeness.
• Conduct pre-admission and admission processes.

Skills

Ability to work in a fast-paced environment

Strong written and verbal communication skills

Competency in electronic medical records

Knowledge of substance use disorder

Education

Current RN, LPN licensure or other NYS QHP certification

Job description

A health care provider in New York is seeking a Utilization Review Specialist. The role involves providing clinical information to insurance companies, reviewing medical records, and conducting admission processes. Candidates should hold an RN, LPN licensure or similar certification and possess strong communication skills. This full-time position offers competitive hourly pay and a comprehensive benefits package in a supportive environment focused on helping individuals with substance use disorders.