Utilization Reviewer: Day Shift in Psychiatric Care

Brynn Marr; Jacksonville (NC); Hybrid; USD 45,000 - 60,000; Full time

Job summary

Brynn Marr Hospital in Jacksonville, NC seeks a Utilization Reviewer to assess psychiatric care levels and coordinate with insurers. The role supports adults, adolescents, and children with evidence-based treatments and a focus on appropriate levels of care.

The position emphasizes knowledge of psychiatric diagnoses, claims review, and advocating for optimal patient length of stay. HR contact provided for inquiries.

Qualifications

• High School Graduate or Equivalent.
• Bachelor's degree in psychology, sociology, social work, human service or related field preferred.
• Two years' utilization reviewer experience preferred.

Responsibilities

• Evaluate patient medical records to determine severity of illness and appropriateness of level of care.
• Serve as liaison for patients and hospital with insurance companies.
• Negotiate and advocate for patient length of stay and level of care.
• Manage patient benefits and understand levels of care offered.

Skills

Psychiatric diagnosis knowledge

Medical record review

Insurance liaison

Education

High School Diploma or equivalent

Bachelor's degree in psychology, sociology, social work, human services or related field preferred

Job description

Brynn Marr Hospital in Jacksonville, NC seeks a Utilization Reviewer to assess psychiatric care levels and coordinate with insurers. The role supports adults, adolescents, and children with evidence-based treatments and a focus on appropriate levels of care.

The position emphasizes knowledge of psychiatric diagnoses, claims review, and advocating for optimal patient length of stay. HR contact provided for inquiries.