Utilization Review Specialist

🔥 il y a 19 heures

🚗 Michigan – Distant

🚗 Michigan – Remote

💵 $63 102 - $83 647 / an

⏰ Temps Plein

🟡 Intermédiaire

🟠 Senior

👻 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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Network180 - Kent County Community Mental Health

Site WebLinkedInTous les Emplois

201 - 500 employés

Fondée en 1974

🏥 Santé

🤝 À but non lucratif

🌍 Impact social

Healthcare • Non-profit • Social Impact

Network180 - Santé Mentale Communautaire de Kent County est une organisation de santé comportementale basée sur le comté qui offre des services publics de santé mentale et de traitement de la toxicomanie aux résidents du comté de Kent. Elle gère des programmes d'intervention en crise, de thérapie ambulatoire, de gestion de cas, de coordination des soins et de sensibilisation communautaire, et collabore avec les écoles, les forces de l'ordre et les prestataires de soins de santé pour améliorer l'accès aux soins et soutenir le rétablissement. Network180 fonctionne en tant qu'autorité locale de santé mentale communautaire axée sur la prévention, le traitement et le soutien communautaire.

Description

• Perform utilization review of intellectual and developmental disability services, mental health, and substance use disorder intensive treatment services • Assess individuals’ current or proposed treatment plans • Identify and address potential barriers to discharge • Assist in transitioning care to an appropriate intensity service setting • Work full-time Monday through Friday, 8:00am to 4:30pm • Potentially work an occasional weekend day or holiday depending on utilization-review volume • Travel occasionally within the Kent County community and surrounding areas • Communicate and bridge language/cultural barriers to Network180 services within diverse communities • Participate in interviews conducted in person or via the internet

🎯 Exigences

• Fully licensed Master of Social Work (LMSW), fully licensed Marriage and Family Therapist (LMFT), fully licensed Professional Counselor (LPC); or limited licensed Psychologist (LLP), with at least five (5) years of clinical experience (at least two [2] years of clinical experience post-licensure preferred) • Or Registered Nurse (RN) in Michigan with at least two (2) years of clinical experience in the delivery of behavioral health services • Ability to interpret clinical summaries and apply established medical necessity criteria to make utilization decisions • Thorough working knowledge of the practices and principles of psychological, emotional, and sociological assessment and diagnosis • Thorough working knowledge of professional ethics and standards of practice • Ability to handle multiple projects simultaneously • Computer skills including word processing, spreadsheets, email, database management, and data entry skills • Ability to work in a fast-paced environment • Ability to communicate clearly and concisely in stressful situations • Excellent communication skills, both verbal and written • Ability to work effectively in a multicultural environment and bridge language/cultural barriers to Network180 services within diverse communities • Successful completion of a drug screen as part of the background check process • Must comply with Network180's drug and alcohol-free workplace policy, including prohibition of recreational marijuana use • QIDP preferred for positions reviewing intellectual and developmental disability services; requires one-year full-time experience working with persons with developmental disabilities and appropriate license/degree per State of Michigan • CMHP preferred for positions reviewing children's services; requires one year of experience in examination, evaluation, and treatment of minors and their families and appropriate license/degree per State of Michigan

🏖️ Avantages

• Four health insurance plans • 100% employer paid dental and vision insurance plans • 13 paid holidays • Generous PTO • Professional development • Tuition reimbursement • Professional License reimbursement • Defined contribution retirement plan • Employee Assistance program • Life and voluntary life insurance options • Short and Long term disability • Approved site for loan forgiveness (based on position and department): NHSC, STAR Loan Repayment, Behavioral Health Loan Repayment, MI Kids Now Loan Repayment and much more! • No weekends, on-call or holiday requirements for this position • Remote work arrangement • Equal opportunity employment • Reasonable accommodations for individuals with disabilities