Recent Searches

You haven't searched anything yet.

1 Utilization Review Specialist Job in Benton, AR

SET JOB ALERT
Details...
UHS of Delaware, Inc.
Benton, AR | Full Time
1 Month Ago
Utilization Review Specialist
Full Time 1 Month Ago
Save

sadSorry! This job is no longer available. Please explore similar jobs listed on the left.

UHS of Delaware, Inc. is Hiring an Utilization Review Specialist Near Benton, AR

Responsibilities:
Rivendell Behavioral Health Services is an 80-bed full-service behavioral healthcare acute care facility located in Benton, AR, that has been providing quality health care to the residents of Arkansas since 1985. Rivendell Behavioral Health Services has been offering hope to individuals, families, and communities for over 30 years. Rivendell Behavioral Health Services is the leader in providing quality mental health and addiction treatment services. Our commitment to care includes developing integrated delivery systems through partnerships with medical surgical hospitals, community mental health centers, educational institutions, managed care organizations, local health professionals and agencies. Rivendell Behavioral Health Services strives to set the standard for excellence in the field of behavioral health care and maintains its leadership role by treating each patient as a respected individual of our community.
Rivendell Behavioral Health Services of Arkansas is seeking a Utilization Review Specialist for full time status.
The Utilization Review Specialist ensures that inpatient admissions & continued hospital stays are medically necessary and that patients receive the highest quality of health care in the most resourceful manner.
Key roles of the Utilization Review Specialist include but are not limited to the following:
  • Reviews documentation to support severity of illness, intensity of services, need for current level of treatment, and notifies supervisor of any deficiencies.
  • Conducts admissions and continued-stay reviews with payors (Medicaid, Medicare, private insurance) for authorizations and reports to treatment team and supervisor any certification problems.
  • Reviews the denial and appeals process for assigned caseload by identifying cases with potential for denial, identifies actions, which need to occur to avoid denials and follows through with process for appealing actual denials.
  • Is responsible for assuring that all disciplines (nursing, therapy, recreational therapy, physician, education) are documenting quality progress notes as required. Any instances of noted deficiencies will be reported immediately to supervisor.
  • Communicates with the clinicians and other departments regarding certification or payor issues that impact length of stay. Is able to communicate patient’s payor status to physician to include quality issues and necessity for doctor to doctor review. Is able to communicate available options for patients.
  • Maintains a good working relationship with referral sources as well as knowledge of community resources. May occasionally act as a resource to others relating to aftercare options.
  • Strong communication skills with the ability to build a good working rapport with customers, clinicians, physicians, and staff are imperative to a having success as a Utilization Review Specialist.
As a full time employee at Rivendell Behavioral Health you are eligible for our Comprehensive Benefits Package including:
Challenging and rewarding work environment
Competitive Compensation
Excellent Medical, Dental, Vision, and Prescription Drug Plan
Generous Paid Time Off
401(K) with company match and discounted stock plan
Career development opportunities within UHS and its Subsidiaries
Qualifications:
Bachelor's degree (B. A.) from four-year college or university; or one to two years related experience and/or training; or equivalent combination of education and experience. Current licensure as a Nurse with at least one year psychiatric experience or Licensed Social Worker with LMSW or LCSW is preferred. Computer skills necessary.
Universal Health Services, Inc. (UHS) is one of the nation’s largest and most respected health care management companies, operating through its subsidiaries acute care hospitals, behavioral health facilities and ambulatory centers nationwide. Founded in 1978, UHS subsidiaries now have more than 83,000 employees. The UHS business strategy is to build or purchase health care properties in rapidly growing markets and create a strong franchise based on exceptional service and effective cost control. Our success comes from a responsive management style and a service philosophy based on integrity, competence and compassion.
At UHS, we're looking for exceptional people who share our vision and values, who share our focus on hard work, enthusiasm, teamwork, loyalty, trust and cooperation. We've embraced these traits and built a team of employees who consistently work to achieve the highest level of service excellence. People are our most valuable resource at UHS as we are committed to providing high quality acute care and behavioral health services to residents of the communities we serve. We are equally committed to offering our employees unlimited opportunity in an environment that encourages professional development.
  • UHS is a registered trademark of UHS of Delaware, Inc., the management company for Universal Health Services, Inc. and a wholly-owned subsidiary of Universal Health Services, Inc. Universal Health Services, Inc. is a holding company and operates through its subsidiaries including its management company, UHS of Delaware, Inc. All healthcare and management operations are conducted by subsidiaries of Universal Health Services, Inc. To the extent any reference to "UHS or UHS facilities" on this website including any statements, articles or other publications contained herein relates to our healthcare or management operations it is referring to Universal Health Services' subsidiaries including UHS of Delaware. Further, the terms "we," "us," "our" or "the company" in such context similarly refer to the operations of Universal Health Services' subsidiaries including UHS of Delaware. Any employment referenced in this website is not with Universal Health Services, Inc. but solely with one of its subsidiaries including but not limited to UHS of Delaware, Inc.
UHS is not accepting unsolicited assistance from search firms for this employment opportunity. Please, no phone calls or emails. All resumes submitted by search firms to any employee at UHS via-email, the Internet or in any form and/or method without a valid written search agreement in place for this position will be deemed the sole property of UHS. No fee will be paid in the event the candidate is hired by UHS as a result of the referral or through other means.
EEO Statement
All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.
We believe that diversity and inclusion among our teammates is critical to our success.

Notice
At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path at UHS and our subsidiaries. We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you are suspicious of a job posting or job-related email mentioning UHS or its subsidiaries, let us know by contacting us at: https://uhs.alertline.com or 1-800-852-3449.

Job Summary

JOB TYPE

Full Time

POST DATE

03/17/2023

EXPIRATION DATE

01/26/2024

WEBSITE

uhsofdelaware.com

HEADQUARTERS

Upper Merion Township, PA

SIZE

<25

Show more

UHS of Delaware, Inc.
Full Time
$45k-55k (estimate)
5 Months Ago
UHS of Delaware, Inc.
Full Time
$43k-53k (estimate)
5 Months Ago

The job skills required for Utilization Review Specialist include Managed Care, Mental Health, Psychiatric, Health Care, Acute Care, Leadership, 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.

For the skill of  Managed Care
The Blossoms
Full Time
$64k-75k (estimate)
1 Month Ago
For the skill of  Mental Health
Ambassadors For Christ
Contractor
$109k-138k (estimate)
1 Month Ago
For the skill of  Psychiatric
METHODIST FAMILY HEALTH
Full Time
$43k-53k (estimate)
7 Days Ago
Show more

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.

Arkansas Heart Hospital
Full Time
$110k-142k (estimate)
1 Day Ago
eQ Brand
Full Time
$51k-65k (estimate)
0 Months Ago

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.

Butler University
Carroll College
Cooper Union
High Point University
Princeton University
Providence College
Show more