Ur Specialist

Eagle View Behavioral Health

Bettendorf, Iowa, USA
Utilization review and management activities
Coordination with insurance companies and hmos
Clinical documentation and charting oversight
The Utilization Specialist is responsible for reviewing admissions, continued stays, utilization practices, and discharge planning according to approved clinically valid criteria to obtain authorizations and complete other processes

Job Summary

  • The Utilization Specialist is responsible for reviewing admissions, continued stays, utilization practices, and discharge planning according to approved clinically valid criteria to obtain authorizations and complete other processes.
  • Eagle View Behavioral Health offers a comprehensive benefit plan and a competitive salary commensurate with experience and qualifications.
  • Veterans and military spouses are highly encouraged to apply, reflecting the company’s dedication to serving the military community.

Matching Summary

The Utilization Specialist is responsible for reviewing admissions, continued stays, utilization practices, and discharge planning according to approved clinically valid criteria to obtain authorizations and complete other processes.

Skills & Requirements

Must-have

  • Utilization review and management activities
  • Coordination with insurance companies and HMOs
  • Clinical documentation and charting oversight
  • Appeals and denial management process
  • Discharge planning participation
  • Communication with physicians and clinical staff

Nice-to-have

  • Staff education and training on documentation
  • Quality review and peer review facilitation
  • Liaison between managed care and clinical staff

Key Requirements

  • Graduation from accredited nursing or related health program
  • Two or more years clinical experience in psychiatric or mental health
  • Current LPN, RN, or clinical professional license or certification

Work Rights

Not specified

Tailored Resume

Cover Letter