What are the responsibilities and job description for the Utilization Management Specialist position at Sanctuary Recovery Centers?
Utilization Review Specialists
Position Summary
Responsibilities include ensuring all clients are receiving the right care, in the right place, at the right time, through staffing and discharge planning work. Reviews clinical information data received from providers ensuring clinical data is aligned with medical necessity criteria and Sanctuary Recovery Centers authorization guidelines to authorize services, as needed. Works with provider staff, community agencies, members, and families to coordinate effective data and clinical protocols.
Specific Duties And Responsibilities
Bachelor's degree in behavioral health
Good health is evidenced by acceptable health screening, emotional stability, ability to function effectively under stressful circumstances, and acceptable attendance record.
Other Qualifications
Has a valid driver's license and acceptable driving record. Will consent to background screening processes as required by the State based on holding this position of special trust to include a fingerprint-based search of criminal records in Florida and nationally and drug testing
Job Type: Full-time
Benefits
As Part Of Our Commitment To Maintaining a Safe And Productive Work Environment, Sanctuary Recovery Centers Conducts Background Checks And Drug Screenings For All Potential Employees. Please Note The Following
Position Summary
Responsibilities include ensuring all clients are receiving the right care, in the right place, at the right time, through staffing and discharge planning work. Reviews clinical information data received from providers ensuring clinical data is aligned with medical necessity criteria and Sanctuary Recovery Centers authorization guidelines to authorize services, as needed. Works with provider staff, community agencies, members, and families to coordinate effective data and clinical protocols.
Specific Duties And Responsibilities
- Supports the authorization and utilization management (UM) data to facilitate the review data process for mental health/substance abuse clients.
- Serves as a liaison and logistical support for the various UM programs within the organization.
- Maintains a working knowledge of all workflows related to Sanctuary Recovery Centers utilization management.
- Tracks UM and waiting list data to generate reports as required by the organization.
- Other related duties as requested.
Bachelor's degree in behavioral health
- Minimum of 3 years' experience in mental health/substance use
- Understanding of the behavioral health system, the child welfare system, and the local provider network.
- Understanding the overall system of care.
- Strong communication skills, both verbal and written. Must pay attention to details with excellent follow up.
- Ability to multi-task and exhibit flexibility.
- Proficient with computer programs such as Microsoft Office.
- Oral communication/public speaking-speaks clearly and persuasively in both positive and negative situations.
- Demonstrates ability to facilitate group meetings and discussions; solicits feedback from participants, keeps discussions on topic and within the timeframe needed, able to capture attendee's attention.
- Documentation- skilled in writing notes, preparing proposals, drafting meeting minutes, and other reports.
- Judgement- displays willingness to make decisions, exhibits sound and accurate judgment and makes timely decisions.
- Empathy displays appropriate empathy for individuals and families: excellent counseling and problem-solving skills.
- Diplomacy- able to deal effectively and positively with staff and external parties including providers and community stakeholders.
- Follow- through demonstrates the ability to assume responsibility for tasks and ensure they are completed thoroughly and in a timely manner.
- Understanding of data/outcomes as they relate to the target population to be served.
Good health is evidenced by acceptable health screening, emotional stability, ability to function effectively under stressful circumstances, and acceptable attendance record.
Other Qualifications
Has a valid driver's license and acceptable driving record. Will consent to background screening processes as required by the State based on holding this position of special trust to include a fingerprint-based search of criminal records in Florida and nationally and drug testing
Job Type: Full-time
Benefits
- Dental insurance
- Disability insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
- How many Years do you have in BH Utilization Management?
- Phoenix, AZ 85022 (Preferred)
- Phoenix, AZ 85022 (Preferred)
As Part Of Our Commitment To Maintaining a Safe And Productive Work Environment, Sanctuary Recovery Centers Conducts Background Checks And Drug Screenings For All Potential Employees. Please Note The Following
- Background Check: All offers of employment are contingent upon the successful completion of a background check. This may include verification of employment history, education, criminal records, and other relevant information.
- Drug Screening: Candidates must pass a drug screening test as a condition of employment. This test will screen for the presence of illegal substances and may include random testing during employment.
- APS Registry: Candidates must pass an APS (Adult Protective Services) registry check before an offer of employment can be extended.
- Confidentiality: All information obtained during the background check, drug screening, and APS registry check process will be kept confidential and used solely for employment purposes.
- Compliance: Sanctuary Recovery Centers complies with all applicable federal, state, and local laws regarding background checks, drug screenings, and APS registry checks.