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Utilization Review Support Specialist - Full-Time

Company: RiverValley Consulting Services, Inc.
Location: Owensboro
Posted on: May 25, 2023

Job Description:

Utilization Review Support Specialist - Full-Time

RiverValley Behavioral Health - Acumen Counseling Services

Owensboro, KY 42301

JOB SUMMARY: The Utilization Review Support Specialist is responsible for assuring insurance coverage of clients for treatment, by obtaining pre-certification and authorizations for various levels of care from insurance companies (the payers). The pre-certification and authorizations of coverage are obtained by demonstrating medical necessity through the presentation of medical and clinical documentation meeting applicable criteria guidelines. Collaborate with programs and departments in coordinating the UR process..

1. Verifies insurance benefits and relays that information to appropriate parties.
2. Participates in skill enhancement activities.
3. Participants in treatment team meetings when necessary.
4. Provides data and reports to UR supervisor as requested.
5. Provides backup for the UR Specialist or other UR staff as needed.
6. Fosters collaborative working relationships among members of the UR team, programs providing UR services for, and management teams.
7. Other duties as assigned by UR Supervisor.

Minimum Qualifications:

  • High School/GED AND Two (2) years' experience working in mental health utilization review (or equivalent)About RiverValley Behavioral Health, Acumen Counseling Services:

    At RiverValley Behavioral Health, Acumen Counseling Services, we are committed to being an employer of choice in our communities. We have talented staff who are dedicated to improving our communities by empowering people to become the best versions of themselves.

    At RiverValley, we aspire to meet the needs of every patient we encounter. We are passionate about extending a hand to those in need of behavioral health services. Explore below to see how a career with RiverValley Consulting Services can bring you professional and personal fulfillment.

    We Offer:

    --- Competitive Pay based on experience

    --- Comprehensive benefits package including health insurance, dental, vision, long-term disability, and Teledoc.

    --- Employer-paid life insurance and long-term disability

    --- Paid Vacation & Sick leave

    --- 9 Paid Holidays

    --- Retirement Planning

    --- Mileage Reimbursement for work-related driving

    --- Tuition reimbursement program

    --- Career development and growth opportunities

    --- Employee Assistance Program

    --- Employment Referral Program

    Full-time employees are eligible for: Medical Insurance, Dental Insurance, Vision Insurance, and Long-term Disability

    Part-time employees (0.6 and above) and Full-time employees are eligible for: Life Insurance, Paid Vacation, Paid Sick Days, Paid Holidays, and 403. Location ID - Cigar Factory Complex
    Relocation is not provided and travel is not required.

    Eligible for Overtime: YES
    Eligible for Shift Differential: NO

    Screening Requirements: Motor Vehicle, Drug Screen, and Criminal Background Check

    Additional Information: EOE/M/F/VET/Disab

Keywords: RiverValley Consulting Services, Inc., Owensboro , Utilization Review Support Specialist - Full-Time, Other , Owensboro, Kentucky

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