Utilization Review Manager

Emploi pas sur LinkedIn

🕒 il y a 5 jours

🌪️ Kansas, Missouri – Distant

🌪️ Kansas – Remote 🏰 Missouri – Remote

💵 $55 000 - $70 000 / an

⏰ Temps Plein

🟡 Intermédiaire

🟠 Senior

👔 Manager

👻 Score fantôme 0%

Ce que ça veut dire : la probabilité que cette offre reste ouverte sans recrutement actif.Comment le lire : 60 % ou plus, on pense que c'est une offre fantôme. Un score plus bas est moins inquiétant.Comment on la calcule : ancienneté, republications, postes ouverts vs taille de l'équipe, rapidité de clôture, et si le salaire est indiqué.À noter : une estimation à partir de données publiques, pas un jugement sur l'entreprise. De vraies offres peuvent avoir un score élevé, alors prenez-le comme un indice, pas comme un fait.

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KVC BEHAVORIAL HEALTHCARE

Site WebLinkedInTous les Emplois

11 - 50 employés

🏥 Santé

🤝 À but non lucratif

🌍 Impact social

Healthcare • Non-profit • Social Impact

KVC BEHAVIORAL HEALTHCARE est une organisation à but non lucratif basée aux États-Unis qui offre des services de santé comportementale et de protection de l'enfance axés sur les enfants, les familles et les communautés. KVC exploite des programmes de traitement résidentiel et communautaire, des services de placement familial et d'adoption, ainsi que des services externes de santé comportementale conçus pour améliorer la santé mentale, la stabilité familiale et la sécurité des enfants.

Description

• Serve as a link between treatment teams, funding sources, and external partners • Obtain and review clinical and medical service authorizations for clients at Great Circle locations • Communicate with funding source departments to secure initial and continued inpatient stay authorizations • Obtain transitional care authorizations • Provide necessary discharge information to external partners • Collaborate with admissions and statewide clinical teams • Analyze data to support treatment recommendations • Approve clinical documentation completed by program staff • Ensure compliance and support for authorized services • Report to the Utilization Review Manager Supervisor

🎯 Exigences

• Master’s Degree in Social Work, Counseling, Psychology, or a related field; OR an Associate degree in Nursing • Registered Nurse (RN) license is highly preferred; LPN licensure will be considered with appropriate experience • Experience working with commercial and managed Medicaid behavioral health plans • Experience securing continued stay authorizations for mental health services • Solid working knowledge of current CPT coding for behavioral health services • Familiarity with DSM diagnostic classification • Experience with accounting or claims for billing resolution • Valid Class E Driver’s License • Experience in a residential setting preferred • Experience working with children and families in a trauma-informed environment preferred • Deep understanding of clinical theory, therapy, and behavioral health systems • Ability to communicate complex psychiatric and medical information • Knowledge of community wrap-around services • Analytical ability to handle administrative details and prepare nonrecurring reports • Strong time management and organizational skills • Ability to work productively with individuals and families from diverse cultural backgrounds • Proficiency in PC-based software including Excel, Word, and Outlook • Superior oral and written communication skills • Ability to coordinate across remote teams

🏖️ Avantages

• Paid Time Off • Paid Parental Leave • Health, Dental, Vision & Life Insurance • 403(b) with Company Match • Tuition Reimbursement • Professional Licensure and Certification Reimbursement • Employee Assistance Program • Wellness Benefits, including health screenings and mental health support • Wellbeing, DEI+B, and Talent Development programs • Work-life balance