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PRN Utilization Review Specialist Behavioral Health
PRN Utilization Review Specialist Behavioral HealthLifepoint Health • Fort Worth, Texas, USA
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PRN Utilization Review Specialist Behavioral Health

PRN Utilization Review Specialist Behavioral Health

Lifepoint Health • Fort Worth, Texas, USA
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Description

Schedule : PRN

Your experience matters

WellBridge Healthcare Fort Worth is part of Lifepoint Health a diversified healthcare delivery network with facilities coast to coast. We are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others. As a Utilization Review Specialist joining our team youre embracing a vital mission dedicated to making communities healthier

  • . Join us on this meaningful journey where your skills compassion and dedication will make a remarkable difference in the lives of those we serve.

How youll contribute

A Utilization Review Specialist who excels in this role :

  • Facilitates clinical reviews on all patient admissions and continued stays.
  • Completes pre and re-certifications for inpatient and outpatient services. Reports appropriate denial and authorization information to designated resource.
  • Analyzes patient records to determine legitimacy of admission treatment and length of stay and interfaces with managed care organizations external reviews and other payers.
  • Displays knowledge of clinical criteria managed care requirements for inpatient and outpatient authorization and advocates on behalf of patients with substance abuse dual diagnosis psychiatric or emotional disorders to managed care providers for necessary treatment.
  • Contacts external case managers / managed care organizations for certification of insurance benefits throughout the patients stay and assists the treatment team in understanding the insurance companys requirements for continued stay and discharge planning.
  • Works with DON to ensure documentation requirements are met
  • Ensures appeals are completely thoroughly and on a timely basis

    • What were looking for

    Applicants should have a Bachelors Degree required Masters degree preferred.

    Additional requirements include :

  • Previous utilization review experience in a psychiatric healthcare facility preferred
  • Current unencumbered clinical license strongly preferred
  • CPR certification and De-escalation Training required

    • Connect with a Recruiter

    Not ready to complete an application or have questions Please contact Jennifer by emailing

    More about WellBridge Healthcare Fort Worth

    WellBridge Healthcare Fort Worth is a behavioral health hospital offering exceptional care to the Fort Worth TX community.

    EEOC Statement

    WellBridge Healthcare Fort Worth i s an Equal Opportunity Employer. WellBridge Healthcare Fort Worth is committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment.

    Required Experience :

    IC

    Key Skills

    Accounts Handling,Access,Commissioning,Biotechnology,Civil Engineering,Health And Safety Management

    Employment Type : Part-Time

    Experience : years

    Vacancy : 1

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    Utilization Review Specialist • Fort Worth, Texas, USA

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