3 Utilization review specialist Jobs in Champaign, IL
The Pavilion Behavioral Health System is Hiring an Utilization review specialist Near Champaign, IL
Job Description
Responsibilities
JOB SUMMARY :
Responsible to ensure that open charts are reviewed appropriately to identify the utilization of services. The information collected by the Utilization Review Specialist will be used to contact insurance / review companies to obtain certification for the hospital stay.
Qualifications
JOB SPECIFICATIONS :
To perform this job successfully, an individual must be able to demonstrate competency in the criteria listed in this job description.
The specifications listed below are representativ0e of the knowledge, skill, and ability to meet the minimum requirements for this position.
Staff must demonstrate flexibility for reassignments to units.
Education : Masters Degree in Social Work, Counseling, Psychology, or Education.
L.P.C or L.C.S. W required. L.P.C.’s should be working toward L.C.P.C. status.
Experience : Two years mental health and / or related experience. Knowledge of hospital operations, nursing operations, and insurance review contacts preferred.
Possesses the ability to maximize effective communication and working relationships through all mediums, especially the telephone.
Minimum of two years of experience in mental health, chemical dependency, education and group facilitation preferred. Basic knowledge related to personal computer utilization.
Ability to work on data entry. Drug and alcohol free as evidenced by negative result of post-offer, pre-employment urine drug screen.
Last updated : 2024-05-10
Job Summary
Full Time
$77k-96k (estimate)
05/11/2024
06/21/2024
The job skills required for Utilization review specialist include Social Work, Effective Communication, Flexibility, etc. Having related job skills and expertise will give you an advantage when applying to be an Utilization review specialist. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Utilization review specialist. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Utilization review specialist positions, which can be used as a reference in future career path planning. As an Utilization review specialist, it can be promoted into senior positions as an Utilization Review Manager - Home Care that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Utilization review specialist. You can explore the career advancement for an Utilization review specialist below and select your interested title to get hiring information.
If you are interested in becoming an Utilization Review Specialist, you need to understand the job requirements and the detailed related responsibilities. Of course, a good educational background and an applicable major will also help in job hunting. Below are some tips on how to become an Utilization Review Specialist for your reference.
Step 1: Understand the job description and responsibilities of an Accountant.
Quotes from people on Utilization Review Specialist job description and responsibilities
Utilization Review Specialists ensure that Doctors and Nurses choose only the best treatments for them.
03/11/2022: Fort Myers, FL
Utilization review typically refers to the review of services that have already been delivered, while utilization management often refers to the review of coverage for future medical services.
02/16/2022: Louisville, KY
Assess plans for patient care and determine what treatment is appropriate and most cost-effective
02/15/2022: Augusta, GA
Analyze electronic medical records, and inform medical staff whether a medical claim is denied,
03/11/2022: Boston, MA
Prepares and submits regular reports on utilization control and on review activities.
02/26/2022: Reading, PA
Step 2: Knowing the best tips for becoming an Accountant can help you explore the needs of the position and prepare for the job-related knowledge well ahead of time.
Career tips from people on Utilization Review Specialist jobs
Know where to find utilization review jobs.
03/13/2022: Clarksville, TN
Create a utilization review cover letter.
02/18/2022: Reno, NV
Sign up for free credit monitoring.
03/16/2022: New London, CT
Set up documentation shortcuts.
03/05/2022: Lawton, OK
Take the certification examination.
05/08/2022: New Bedford, MA
Step 3: View the best colleges and universities for Utilization Review Specialist.
Similar Jobs
Popular Articles
