What are the responsibilities and job description for the Utilization Review Clerk position at Triangle Springs LLC?
Overview
Part Time
Triangle Springs is a 77-bed behavioral hospital located in Raleigh NC. The hospital offers inpatient and outpatient mental health and addiction treatment to adults, adolescents and their families. At Triangle Springs we are dedicated to Changing People’s Lives®
.
Members of our team Enjoy:
- Working with a highly engaged staff
- Healthy staffing levels
- Flexible scheduling
- Career growth
- Competitive compensation
UKG Wallet – We’ve partnered with UKG Wallet, a voluntary Earned Wage Access benefit, to offer employees access to their pay on their own schedule.
Position Details
- Provides clerical support to the UR Manager and UR Team. Enters information and scans documentation into the Medik, patient database system accurately.
- Maintains appropriate stock of paperwork/forms and supplies to support the UR Department.
- Checks on authorization status with the assessment department.
- Assists other units and departments, as needed.
- Sends appropriate documentation to managed care companies in the appropriate timeframe.
- Provides assistance with discharges. Calling in and faxing in discharge clinical information.
- Enters information accurately on the UR spreadsheet.
- Assists in scheduling and following up on peer to peer reviews.
- Assists the UR Manager with all data reporting as directed.
- Ensures all Medicare cert letters are signed by the appropriate provider
- Assists in filing and maintaining the organization and accuracy of the filing system.
Qualifications
Education:
- High school degree or equivalent preferred
Experience:
- Previous experience in a psychiatric health care facility or experience in office support and organization preferred.
License: Valid driver’s license
Additional Requirements: CPR certification and Crisis Prevention Training (CPI) within 30 days. May be required to work flexible hours and overtime.
