Utilization Review Specialist - Behavioral Health

At Lifepoint Behavioral Health, we specialize in compassionate behavioral health services, including crisis stabilization for acute mental health and substance use disorders. Our philosophy is built on a psychosocial model of care and follows the core principles of resilience, recovery and restoration. Our teams are committed to providing superior patient care that exceeds industry standards as well as patient expectations.

Success within a company doesn’t just happen. It requires committed teams of talented people who understand and embrace an organization’s goals and work together at the highest level to achieve them. Join our team of interdisciplinary doctors, nurses, therapists and other experts today!

Benefits

• Affordable medical, dental and vision plans provided to meet the needs of full employees and their families
• Up to 16 days of PTO for full time employees
• 6 paid holidays for full time employees
• Tuition reimbursement
• 401(k) retirement plan
• Flexible spending and health savings accounts

What you will do in this role:

• Displays knowledge of clinical criteria, managed care requirements for inpatient and outpatient authorization and advocates on behalf of the patient to secure coverage for needed services.
• Completes pre and re-certifications for inpatient and outpatient services.
• Reports appropriate denial, and authorization information to designated resource.
• Actively communicates with interdisciplinary team to acquire pertinent information and give updates on authorizations.
• Participate in treatment teams to ensure staff have knowledge of coverage and to collect information for communication with agencies.
• Other Duties as assigned.

Qualifications:

• Bachelor’s degree required. Master’s degree preferred.
• Previous utilization review experience in a psychiatric healthcare facility preferred.
• Current unencumbered clinical license strongly preferred.
• CPR certification and Crisis Prevention Training (CPI) preferred.