What are the responsibilities and job description for the Utilization Management Analyst position at Department of Behavioral Health and Developmental Services?
Title: Utilization Management Analyst
State Role Title: 49171
Hiring Range: $70,700/yr.
Pay Band: 4
Agency: Dept Behavioral Health/Develop
Location: Northern VA Mental Health Inst
Agency Website: https://dbhds.virginia.gov/facilities/nvmhi/careers/
Recruitment Type: General Public - G
Job Duties
The Utilization Management Analysist will be responsible for submitting authorization and certification reviews for insured admissions with Managed Care Organization or third-party payers. This will include conducting chart reviews and continued stay reviews in accordance with set intervals, consulting with treatment teams to guide certification decisions, and maintaining communication with internal and external partners to ensure maximum collection of reimbursement for services.
Minimum Qualifications
Demonstrated knowledge of inpatient psychiatric treatment and documentation required, to include interdisciplinary treatment planning, discharge planning, and psychosocial rehabilitation; Ability to communicate effectively, both orally and in writing, with clinicians, administrators, and patients; Knowledge of utilization management principles, third-party reimbursement systems, and associated legal/regulatory requirements; Basic computer proficiency required with typing skills, Microsoft Word, Microsoft Excel, AVATAR, EHR; Ability to produce and present computer-generated reports with narrative and graphic data analysis; Ability to write policies, procedures, and instructional tools; design forms; produce memorandums and meeting minutes; Ability to work independently to include organization, prioritization, and maintaining timeliness of multiple tasks/projects; and Teaching and presentation skills.
Additional Considerations
N/A
Special Instructions
You will be provided a confirmation of receipt when your application and/or résumé is submitted successfully. Please refer to “Your Application” in your account to check the status of your application for this position.
Northern Virginia Mental Health Institute only accepts online applications via PAGEUP. Resumes and other documents may accompany the application but will not serve as a substitute for an application. Faxed, e-mailed or mailed applications will not be accepted. Please refer to your PAGEUP account for the status of your application and this position. This posting will remain open for a minimum of five (5) business days.
Northern Virginia Mental Health Institute offers a comprehensive benefit package to include your choice of four health insurance plans, paid life insurance and retirement plans, 12 paid holidays, annual and sick leave.
Commonwealth’s Alternate Hiring Process: In support of the Commonwealth’s commitment to inclusion, we are encouraging individuals with disabilities to apply through the Commonwealth Alternative Hiring Process. To be considered for this opportunity, applicants will need to provide their Certificate of Disability (COD) provided by a Certified Rehabilitation Counselor within the Department for Aging & Rehabilitative Services (DARS). Veterans are encouraged to answer Veteran status questions and submit their disability documentation, if applicable, to DARS to get their Certificate of Disability. If you need to get a Certificate of Disability, use this link: https://www.vadars.org/drs/cpid/PWContact.aspx
Contact Pathways
Led by the Virginia Department for Aging and Rehabilitative Services and the Virginia Department for the Blind and Vision Impaired, the Career Pathways grant will help nearly 500 Virginians with disabilities, including young adults and veterans, gain new skills and credentials through Career Pathways to seek employment in competitive, high-demand, high-quality occupations.
www.vadars.org or call DARS at 800-552-5019.
Reasonable accommodations are available to persons with disabilities during application and/or interview processes per the Americans with Disabilities Act. Contact Human Resources at (HR Rep phone #) for assistance. Minorities, Individuals with disabilities, Veterans, and people with National Service experience are encouraged to apply. EEO/AA/TTY.
Northern Virginia Mental Health Institute is an Equal Opportunity Employer. Employment opportunities are open to all regardless of race, sex, color, national origin, religion, sexual orientation, gender identity, age, veteran status, political affiliation, genetics or disability.
DBHDS is a healthcare organization and must comply with the federal Centers for Medicare and Medicaid Services (federal CMS) guidance on Omnibus COVID-19 Health Care staff Vaccination Regulation which requires vaccination of all employees or an exemption. A job offer of employment is contingent upon the candidate meeting these guidelines as a condition of employment.
Contact Information
Name: Tina Bielonwu
Phone: (703) 323-2809
Email: tina.bielonwu@dbhds.virginia.gov
In support of the Commonwealth’s commitment to inclusion, we are encouraging individuals with disabilities to apply through the Commonwealth Alternative Hiring Process. To be considered for this opportunity, applicants will need to provide their AHP Letter (formerly COD) provided by the Department for Aging & Rehabilitative Services (DARS), or the Department for the Blind & Vision Impaired (DBVI). Service-Connected Veterans are encouraged to answer Veteran status questions and submit their disability documentation, if applicable, to DARS/DBVI to get their AHP Letter. Requesting an AHP Letter can be found at AHP Letter or by calling DARS at 800-552-5019.
Note: Applicants who received a Certificate of Disability from DARS or DBVI dated between April 1, 2022- February 29, 2024, can still use that COD as applicable documentation for the Alternative Hiring Process.
State Role Title: 49171
Hiring Range: $70,700/yr.
Pay Band: 4
Agency: Dept Behavioral Health/Develop
Location: Northern VA Mental Health Inst
Agency Website: https://dbhds.virginia.gov/facilities/nvmhi/careers/
Recruitment Type: General Public - G
Job Duties
The Utilization Management Analysist will be responsible for submitting authorization and certification reviews for insured admissions with Managed Care Organization or third-party payers. This will include conducting chart reviews and continued stay reviews in accordance with set intervals, consulting with treatment teams to guide certification decisions, and maintaining communication with internal and external partners to ensure maximum collection of reimbursement for services.
Minimum Qualifications
Demonstrated knowledge of inpatient psychiatric treatment and documentation required, to include interdisciplinary treatment planning, discharge planning, and psychosocial rehabilitation; Ability to communicate effectively, both orally and in writing, with clinicians, administrators, and patients; Knowledge of utilization management principles, third-party reimbursement systems, and associated legal/regulatory requirements; Basic computer proficiency required with typing skills, Microsoft Word, Microsoft Excel, AVATAR, EHR; Ability to produce and present computer-generated reports with narrative and graphic data analysis; Ability to write policies, procedures, and instructional tools; design forms; produce memorandums and meeting minutes; Ability to work independently to include organization, prioritization, and maintaining timeliness of multiple tasks/projects; and Teaching and presentation skills.
Additional Considerations
N/A
Special Instructions
You will be provided a confirmation of receipt when your application and/or résumé is submitted successfully. Please refer to “Your Application” in your account to check the status of your application for this position.
Northern Virginia Mental Health Institute only accepts online applications via PAGEUP. Resumes and other documents may accompany the application but will not serve as a substitute for an application. Faxed, e-mailed or mailed applications will not be accepted. Please refer to your PAGEUP account for the status of your application and this position. This posting will remain open for a minimum of five (5) business days.
Northern Virginia Mental Health Institute offers a comprehensive benefit package to include your choice of four health insurance plans, paid life insurance and retirement plans, 12 paid holidays, annual and sick leave.
Commonwealth’s Alternate Hiring Process: In support of the Commonwealth’s commitment to inclusion, we are encouraging individuals with disabilities to apply through the Commonwealth Alternative Hiring Process. To be considered for this opportunity, applicants will need to provide their Certificate of Disability (COD) provided by a Certified Rehabilitation Counselor within the Department for Aging & Rehabilitative Services (DARS). Veterans are encouraged to answer Veteran status questions and submit their disability documentation, if applicable, to DARS to get their Certificate of Disability. If you need to get a Certificate of Disability, use this link: https://www.vadars.org/drs/cpid/PWContact.aspx
Contact Pathways
Led by the Virginia Department for Aging and Rehabilitative Services and the Virginia Department for the Blind and Vision Impaired, the Career Pathways grant will help nearly 500 Virginians with disabilities, including young adults and veterans, gain new skills and credentials through Career Pathways to seek employment in competitive, high-demand, high-quality occupations.
www.vadars.org or call DARS at 800-552-5019.
Reasonable accommodations are available to persons with disabilities during application and/or interview processes per the Americans with Disabilities Act. Contact Human Resources at (HR Rep phone #) for assistance. Minorities, Individuals with disabilities, Veterans, and people with National Service experience are encouraged to apply. EEO/AA/TTY.
Northern Virginia Mental Health Institute is an Equal Opportunity Employer. Employment opportunities are open to all regardless of race, sex, color, national origin, religion, sexual orientation, gender identity, age, veteran status, political affiliation, genetics or disability.
DBHDS is a healthcare organization and must comply with the federal Centers for Medicare and Medicaid Services (federal CMS) guidance on Omnibus COVID-19 Health Care staff Vaccination Regulation which requires vaccination of all employees or an exemption. A job offer of employment is contingent upon the candidate meeting these guidelines as a condition of employment.
Contact Information
Name: Tina Bielonwu
Phone: (703) 323-2809
Email: tina.bielonwu@dbhds.virginia.gov
In support of the Commonwealth’s commitment to inclusion, we are encouraging individuals with disabilities to apply through the Commonwealth Alternative Hiring Process. To be considered for this opportunity, applicants will need to provide their AHP Letter (formerly COD) provided by the Department for Aging & Rehabilitative Services (DARS), or the Department for the Blind & Vision Impaired (DBVI). Service-Connected Veterans are encouraged to answer Veteran status questions and submit their disability documentation, if applicable, to DARS/DBVI to get their AHP Letter. Requesting an AHP Letter can be found at AHP Letter or by calling DARS at 800-552-5019.
Note: Applicants who received a Certificate of Disability from DARS or DBVI dated between April 1, 2022- February 29, 2024, can still use that COD as applicable documentation for the Alternative Hiring Process.
Salary : $70,700