What are the responsibilities and job description for the Utilization Review Specialist position at Seven Hills Hospital?
Utilization Management Specialist
Seven Hills Hospital brings a world of compassion, hope and best practice medical care to the people who need it the most. We are a growing, private, 134-bed psychiatric hospital that is dedicated to providing high-quality care for adults, geriatrics, and adolescents (ages 5-17) who are suffering from behavioral health and chemical dependency issues. Our patients recover at our new, state-of-the art medical facility in the Seven Hills area of Henderson, Nevada. Henderson is one of the fastest growing cities in the US and is located just 7 miles from the famed Las Vegas Strip and a couple of miles from beautiful Lake Mead.
Seven Hills Hospital is part of Acadia Healthcare system, a provider of behavioral health services throughout the US.
Join the team of highly dedicated mental health professionals. We are presently looking for a Full Time Utilization Management Specialist who will be responsible for:
- The UM Specialist is responsible for authorizing continued inpatient days for patients admitted to the hospital.
- Compiles statistics regarding authorizations and phone calls for monthly reports and communication with insurance providers.
- Provides customer service to members and providers regarding benefits and claim status.
- Communicates with Intake/UM Director regarding authorizations, reports, protocol concerns and network issues.
Qualifications:
Education:
A Bachelor's Degree in behavioral health or RN Degree from an accredited college or university
Experience:
At least 2 years’ experience in a psychiatric setting as UM Coordinator, Counselor or Nurse.
Seven Hills Hospital offers competitive compensation and benefits package including medical, dental, vision, leave benefits, life insurance and 401k plan.
No Agency calls.
Seven Hills Hospital is an Equal Opportunity Employer
Experience
Required- At least 2 years’ experience in a psychiatric setting as UM Coordinator, Counselor or Nurse
Education
Required- Bachelors or better
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
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