*Utilization Review Specialist - Behavioral Health*

Fully On-Site Role 

Monday-Friday

Cottonwood Springs, 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 Olathe, Kansas, to build a career that touches lives.

Benefits:

Affordable medical, dental and vision plans provided to meet the needs of full employees and their families

Up to 16 days of PTO for full time employees

6 paid holidays for full time employees

Tuition reimbursement

401(k) retirement plan

Flexible spending and health savings accounts

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.

What you will do in this role:

Acts as a liaison between managed care organizations and the facility’s behavioral health clinical treatment team.Conducts clinical reviews in accordance with certification requirements of insurance plans or other managed care organizations.Monitors patient length of stay and conducts initial and concurrent reviews when indicated to provide clinical information needed to support medical necessity criteria for appropriate level of care.Facilitates peer to peer reviews between the facility treatment provider and the managed care physician.Assists the Assessment Department with completion of the precertification process for admissions.

Qualifications:

Bachelor’s degreeCPR and CPI Certification within 30 days of employmentPrevious utilization review experience in a psychiatric healthcare facility preferredKnowledge of mental health and chemical dependency terminology, symptoms, diagnoses, and treatment.Ability to communicate effectively with patients, internal and external treatment providers, and managed care clinical review care managers.