What are the responsibilities and job description for the Utilization Review Specialist (Full Time) position at Sheppard Pratt?
General Summary:
- Responsible for supporting the utilization review system including data analysis, report writing, and program improvement.
- UR Specialist will develop and maintain a VOD Tracking and Receipt system.
- UR Specialist will maintain an expert level review of client entitlements and billing authorizations.
- Also responsible for securing authorizations and tracking entitlements for enrolled clients.
Knowledge, Skills, and Abilities Required:
- Knowledge of the public mental health system and programs, generally acquired through a bachelor’s degree in Social Work or Psychology or related degree OR (2) years related work experience.
- Knowledge of computers and spreadsheet software.
- Experience with Maryland ASO or other utilization review processes.
- Substantial level of interpersonal skills in order to communicate effectively with outside agencies and internal customers.
- Good assessment and clinical skills, including a preeminent knowledge of the rehabilitation model.
- Excellent organization skills.
Benefits:
At Sheppard Pratt, you will work alongside a multi-disciplined team led by a bold vision to change lives. We offer:
- A commitment to professional development, including a comprehensive tuition reimbursement program to support ongoing education and licensure and/or certification preparation
- Comprehensive medical, dental and vision benefits for benefit eligible positions
- 403b retirement match
- Generous paid-time-off for benefit eligible positions
- Complimentary Employee Assistance Program (EAP)
- Generous mileage reimbursement program
Pay for this position is determined on a number of factors, including but not limited to, years and level of related experience.
