Utilization Review Specialist - Behavioral Health - Lifepoint Health

Carrollton Springs

Utilization Review Specialist - Behavioral Health

Full-Time Days

Carrollton Springs, part of Lifepoint Behavioral Health, nationally known healthcare organization with diversified delivery network with facilities from coast to coast, seeks passionate, patient-centric, and goal-oriented team members to join our team. We specialize in compassionate behavioral health services for child/adolescent and adult populations, including crisis stabilization for acute mental health and substance use treatment. Our philosophy is built on a psychosocial model of care to decrease suicide rates, decrease addiction-related deaths, reverse the decline in life expectancy, and improve productivity in the communities we serve. We offer a collaborative work environment, competitive compensation, and flexible scheduling so you can focus on what matters–providing quality patient care. Join our team in Carrollton,Texas, to build a career that touches lives.

The Utilization Review department plays an essential role in helping fulfill our mission of “Changing People’s Lives®”.  Utilization Review team members advocate on behalf of our patients to managed care providers for necessary treatment.  As a Utilization Review Specialist, you will accurately and timely complete utilization review activities.

Members of our team Enjoy:

• Working with a highly engaged staff
• Healthy staffing levels
• Flexible scheduling
• Career growth
• Competitive compensation
• Daily Pay - We’ve partnered with DailyPay, a voluntary benefit to offer employees access to their pay on their own schedule

• Actively Communicate with interdisciplinary team members to acquire information and give updates on authorizations
• Ensure all pre-certifications are completed for inpatient and outpatient services.
• Monitor hospital LOS, report appropriately.
• Work with Director of Nursing to ensure documentation requirements are met
• Interface with managed care organizations, external reviews, and other payers.

Requirements:

• Bachelor’s degree 
• Current unencumbered clinical licensure and valid driver’s license
• CPR and CPI Certification within 30 day of employment

Experience:

• Previous utilization review experience in a psychiatric healthcare facility preferred