Utilization Review (ur) Specialist

NewVista Behavioral Health

Blue Ash, OH, US
Not specified; not specified; benefits include med...
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Inpatient and outpatient authorization process
Peer to peer review coordination
Managed care requirements knowledge
** NewVista Behavioral Health is seeking a Utilization Review Specialist for their Blue Ash, OH location. The role involves managing authorizations for inpatient and outpatient services, ensuring effective patient care communication, and requires prior experience in behavioral healthcare utilization review. **

Job Summary

  • The Utilization Review Specialist is responsible for the authorizations and certifications process for Inpatient and Outpatient Services.
  • The role requires accurate reporting of authorization status, denials, and appeals to the Corporate Director of UR.
  • NewVista Behavioral Health offers up to $15,000 in Tuition Reimbursements and a 401k with Company Match.

Matching Summary

Match Score: 75

** NewVista Behavioral Health is seeking a Utilization Review Specialist for their Blue Ash, OH location. The role involves managing authorizations for inpatient and outpatient services, ensuring effective patient care communication, and requires prior experience in behavioral healthcare utilization review. **

Salary

Not specified; Not specified; Benefits include Medical Packages, Dental Care, Vision Plan, Life Insurance, 401k match, and Tuition Reimbursement

Skills & Requirements

Must-have

  • Inpatient and outpatient authorization process
  • Peer to peer review coordination
  • Managed care requirements knowledge
  • Denial and appeal status reporting

Nice-to-have

  • Strong problem-solving skills
  • Ability to work independently
  • Effective communication with departments

Key Requirements

  • High school diploma or GED required
  • Bachelor's or Master's degree in Nursing, Social Work, or related field preferred
  • LPN, RN, LSW, LPC, LCDC license preferred
  • Previous utilization review experience in behavioral healthcare preferred

Work Rights

Not specified

Tailored Resume

Cover Letter