Ur Specialist

Eagle View Behavioral Health

Bettendorf, Iowa, US
Review admissions and continued stays
Obtain authorizations and complete processes
Coordinate utilization review activities
The Utilization Specialist is responsible for reviewing of assigned admissions, continued stays, utilization practices and discharge planning according to approved clinically valid criteria which meets the daily deadlines to obtain authorizations and complete other pertinent processes

Job Summary

  • The Utilization Specialist is responsible for reviewing of assigned admissions, continued stays, utilization practices and discharge planning according to approved clinically valid criteria which meets the daily deadlines to obtain authorizations and complete other pertinent processes.
  • Coordinates, performs, and monitors all utilization review/management activities of the hospital to continuously improve the collection, reimbursement, coordination, and presentation of utilization review information; Educates hospital staff about requirements and trends.
  • Eagle View Behavioral Health offers a comprehensive benefit plan and a competitive salary commensurate with experience and qualifications.

Matching Summary

The Utilization Specialist is responsible for reviewing of assigned admissions, continued stays, utilization practices and discharge planning according to approved clinically valid criteria which meets the daily deadlines to obtain authorizations and complete other pertinent processes.

Skills & Requirements

Must-have

  • review admissions and continued stays
  • obtain authorizations and complete processes
  • coordinate utilization review activities
  • educate hospital staff on requirements
  • communicate with insurance companies

Nice-to-have

  • improve collection and reimbursement
  • support and training for staff
  • resolve possible payment problems
  • participate in discharge planning
  • liaison between managed care and staff

Key Requirements

  • Graduation from approved/accredited school of nursing or Bachelor's degree in social work, behavioral or mental health, or other related health field
  • Two or more years of direct clinical experience in a psychiatric or mental health setting
  • Current licensure as an LPN or RN or current clinical professional license or certification

Work Rights

Not specified

Tailored Resume

Cover Letter