Utilization Review Specialist

🕒 il y a 15 jours

⛷️ Utah – Distant

⛷️ Utah – Remote

⏰ Temps Plein

🟡 Intermédiaire

🟠 Senior

👻 Score fantôme 12%

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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Odyssey House of Utah

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201 - 500 employés

🏥 Santé

🤝 À but non lucratif

Healthcare • Non-profit

Odyssey House of Utah est une organisation à but non lucratif fondée en 1971, qui accompagne les personnes dans leur parcours de guérison afin de les aider à construire une vie meilleure. En tant que programme de lutte contre les addictions le plus vaste et le plus complet de l’Utah, Odyssey House propose des services de santé mentale, des soins médicaux intégrés ainsi que des programmes de réhabilitation liés à la consommation de drogues et d’alcool. Son approche, guidée par sa mission, prend en charge la « personne dans sa globalité » à l’aide de méthodes fondées sur des données probantes. Elle tient compte de tous les aspects du bien-être individuel afin de favoriser une guérison et une transformation durables.

Description

• Track UCE/UR/Insurance due dates for all funding and ensure timely submission of requests • Review utilization review submissions for medical necessity, make corrections, and submit for approval • Provide ongoing training to staff regarding writing to medical necessity and other utilization-management issues • Resolve funding denials through immediate UR modification and resubmission to minimize loss of days • Update Best Notes and UWITS to reflect authorized days • Generate reports with due dates, notify staff of changes, and manage staff progress • Complete monthly Medicaid checks and upload snapshots to Best Notes • Complete “doc-to-doc” calls as needed for insurance authorization • Communicate with the OH billing department to resolve issues • Demonstrate fluency in ASAM and DSM-V through successful authorization and processing of utilization reviews • Complete all responsibilities in a timely, thorough, and professional manner • Perform other duties as assigned

🎯 Exigences

• Licensed Mental Health Professional, including - CSW, LCSW, CMHC, ACHMC, LMFT, MFTI • Graduate degree in the mental health field • Willingness and ability to pass a criminal background check • First Aid and CPR Certification (available at Odyssey House) • Must comply with annual TB tests and Flu immunization (and other immunizations as needed) • Must meet employment eligibility • Must be able to work variable shifts as needed • Ability to lift up to 15 lbs., drive (or adequate alternate transportation), sit for prolonged periods, and perform light to moderate physical activity at times • Able to passively restrain residents without likely injury to self due to existing medical condition • Adherence to Odyssey House mission, philosophy, scope of service, Division of Human Services Code of Conduct, and relevant service contract requirements • Understanding of role responsibilities, time management, personnel file requirements, client record system, incident reporting, mandatory training, client boundaries, and individual rights

🏖️ Avantages

• $9k per year tuition eligible • Access to 24/7 EAP program (Employee Assistance Program) for Mental Health support and more! • Opportunities for paid continuing education/training • Monthly incentives and awards • Flexible scheduling • Casual dress and atmosphere • Opportunities for bonuses, awards, raises, and promotions • Incredible health insurance (medical, dental, vision, FSA, long and short-term disability) • Immediate eligibility to participate in our 403(b)-retirement plan, Employer 100% match up to 5% after 1 year • 35 paid days off (additional PTO accrual after 1 year) • EXTRA time off and gift packages for PT and FT staff that stay more than 90 days! • Sabbatical Program - where we pay you to take a vacation after 5 years of service! • On-Demand Pay - Get a portion of your paycheck early for hours already worked! (conditions apply) • UTA free passes available for your work commute