Utilization Review Specialist PRN
Location: Olive Branch Mississippi
Description: Parkwood Behavioral Health System is hiring Utilization Review Specialist PRN right now, this job will be placed in Mississippi. More complete informations about this job opportunity please read the description below. Job Description:
JOB TITLE: UR Speicalist APPROVED BY: CEO/HRD
DEPARTMENT: Utilization Review &nb sp; SUPERVISOR:
Manager of Utilization Review
JOB SUMMARY:
The Utilization Reveiw Specialist provides utilization review services in a manner consistent with the philosophy and objectives of the facility. The Utilization Review Specialist evaluates patient medical records to determine severity of patient’s illness and determines the appropriateness of level of care. Serves as liaison for patients and hospital with insurance companies. Negotiates and advocates for patient length of stay and level of care. Oversees utilization review activities with other departments to ensure reimbursement for services provided by the hospital.
JOB SPECIFICATIONS:
To perform this job successfully, an individual must be able to demonstrate competency in the criteria listed in this job description. The specifications listed below are representative of the knowledge, skill and ability to meet the minimum requirements for this position. Staff must demonstrate flexibility for reassignment, providing care to varied populations including male and female children, adolescents and adults as well as dually diagnosed adults.
Job Requirements:
Education: Bachelor degree in Nursing or human services field or master's degree in counseling or social work preferred Experience: Minimum of 2 years clinical experience and 1 year of experience with case management and the utilization review process including concurrent reviews. Previous continuum of care experience highly preferred. Licensure/Certification: Valid LPN or RN license required for all nurse candidate Knowledge: Prefer knowledge of case management, discharge planning, age specific growth and development, crisis and behavior management.
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If you were eligible to this job, please email us your resume, with salary requirements and a resume to Parkwood Behavioral Health System.
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This job starts available on: Tue, 31 Jul 2012 10:39:06 GMT