What are the responsibilities and job description for the Utilization Review Specialist position at Acadia Healthcare - River Place Behavioral Health?
Come join our Utilization Management (UM) team as a Utilization Review (UR) Specialist at Acadia Healthcare-River Place Behavioral Health! If you are passionate and dedicated to making a difference in the lives of those in need through compassionate therapeutic practices while working in a team environment that supports learning and growth, this position is right for you!
River Place Behavioral Health Hospital, a service of Ochsner Health System, is an 82 bed state of the art hospital located in Laplace, Louisiana. This is a PRN or Per Diem position working on an as-needed basis.
As a Utilization Review Specialist at River Place you will participate in the development and implementation of patients' treatment plan by:
-Providing consultation and guidance regarding admissions and patient length of stay to a variety of payers.
-Securing authorizations with insurance companies for inpatient treatment and continue to obtain authorizations through ongoing clinical reviews until patient discharges from treatment.
-Evaluating the utilization operation for compliance with mandatory policies and procedures.
-Reviewing clinical documentation from denied stays against criteria to determine if documentation is adequate for requested treatment.
-Maintaining efficient, positive customer service attitude towards patients, their families and co-workers while being responsive to customer needs.
EDUCATION/EXPERIENCE/SKILL REQUIREMENTS:
· Associate's degree in nursing (LPN or RN) required. Bachelor's or Master’s degree in social work, behavioral or mental health, nursing or other related health field preferred.
· Two or more years' experience with the population of the facility and previous experience in utilization management preferred.
LICENSES/DESIGNATIONS/CERTIFICATIONS:
· Current licensure as an LPN or RN with the state of LA; or current clinical professional license or certification, as required.
Job Type: Full-time
Pay: $23.00 - $25.00 per hour
Expected hours: 36 – 40 per week
Benefits:
- 401(k) matching
- Dental insurance
- Disability insurance
- Employee assistance program
- Employee discount
- Flexible spending account
- Health insurance
- Life insurance
- Paid time off
- Tuition reimbursement
- Vision insurance
Schedule:
- 8 hour shift
- Day shift
- Monday to Friday
- Weekends as needed
Education:
- Associate (Required)
Experience:
- Utilization review: 2 years (Preferred)
License/Certification:
- LPN, RN, or CSW (Required)
Work Location: In person
Salary : $23 - $25
