What are the responsibilities and job description for the Utilization Review Specialist - Behavioral Health position at TGH Behavioral Health Hospital?
Description
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Tampa General Behavioral Health Hospital, part of Lifepoint Behavioral Health, nationally known healthcare organization with diversified delivery network with facilities from coast to coast, seeks passionate, patient-centric, and goal oriented team members to join our team. We specialize in compassionate behavioral health services, including crisis-stabilization, inpatient care, and outpatient treatment for acute mental health and substance use treatment. Our philosophy is built on a psychosocial model of care to decrease suicide rates, decrease addiction-related deaths, reverse the decline in life expectancy, and improve productivity in the communities we serve. We offer a collaborative work environment, competitive compensation, and flexible scheduling so you can focus on what matters - providing quality patient care. Join our team in Tampa, Florida, to build a career that touches lives.
Benefits:
- New competitive pay rates
- Tuition assistance/reimbursement
- Expansive benefits package
- Professional development and advancement opportunities
- Supportive leadership and culture
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.
Qualifications
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.
