Partners Health Management
201 - 500 employees
Founded 2012
⚕️ Healthcare Insurance
Healthcare Insurance • Health Care • Mental Health
Partners Health Management is a local management entity and managed care organization that focuses on providing essential mental health services, supports for individuals with intellectual and developmental disabilities, and substance use disorder services. Their mission is to assist members and their families in accessing the necessary care and resources to improve their overall well-being and integration into the community.
I/DD Utilization Management Reviewer – Remote
🕒 May 4
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Partners Health Management
201 - 500 employees
Founded 2012
⚕️ Healthcare Insurance
Healthcare Insurance • Health Care • Mental Health
Partners Health Management is a local management entity and managed care organization that focuses on providing essential mental health services, supports for individuals with intellectual and developmental disabilities, and substance use disorder services. Their mission is to assist members and their families in accessing the necessary care and resources to improve their overall well-being and integration into the community.
📋 Description
• Responsible for facilitating the review of service plans and service authorization requests • Ensure that individuals are receiving the most appropriate services • Screen authorization requests for completeness • Approve requests based on an algorithm for “auto-approval” • Refer requests that cannot be “auto-approved” to Licensed Utilization Management Reviewers • Administratively deny incomplete requests • Onboarding/training/mentoring of new staff
🎯 Requirements
• A Bachelor’s Degree in a Human Services field • Two (2) years of post-degree I/DD experience • Comprehensive knowledge of mental illness and diagnostic categories • Knowledge of the assessment and treatment of developmental disabilities, with or without co-occurring mental illness • Knowledge of the 1915 (b) (c) waiver • Knowledge of psychiatric medications and side effects • Knowledge of evidence based practices • Knowledge of appropriate treatments for major diagnostic categories • Exceptional interpersonal skills and highly effective communication ability • Problem solving, negotiation and conflict resolution skills • Awareness of cultural diversity • Excellent computer skills including proficiency in Microsoft Office products (such as Word, Excel, Outlook, etc) • Ability to make prompt decisions based on relevant facts • Detail oriented and able to independently organize multiple tasks and priorities
🏖️ Benefits
• Competitive Compensation & Benefits Package! • Annual incentive bonus plan • Medical, dental, and vision insurance with low deductible/low cost health plan • Generous vacation and sick time accrual • 12 paid holidays • State Retirement (pension plan) • 401(k) Plan with employer match • Company paid life and disability insurance • Wellness Programs • Public Service Loan Forgiveness Qualifying Employer
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