Outpatient UR Specialist is responsible for maintaining and coordinating all utilization review activities with the facility. Needs to substantiate Level of Care decisions to insurance providers, administrators, and to the patient. Outpatient UR Specialist is responsible for Quality Assurance of documents within the patient's chart.
MINIMUM QUALIFICATION
Education, Knowledge, Skills and Abilities
Familiar with DSM 5 and Utilization Review Criteria; effective verbal and written communication skills; basic computer skills and organizational skills. Ability to function independently, have flexibility, personal integrity, and the ability to work effectively with employees.
Required Length and Type of Experience 1 year experience in a treatment or health care related industry
Required Licensure or Certification: LSW or RN
Benefits:
The ARMC Healthcare System understands the importance of the benefits package and are proud to offer a variety of options for you (and your family).
- Competitive salary package
- Extensive benefit package, including medical, dental, vision, and life insurance
- Accident and critical illness insurance
- Short Term and Long Term Disability
- Paid time off
- Will preparation and Employee Assistance Programs
- 403(b) retirement savings plan with company matching
- Tuition reimbursement
- We are a qualifying employer for the Public Service Loan Forgiveness (PSLF) Program which allows you to receive forgiveness of the remaining balance of your Direct Loans after you have made 120 qualifying monthly payments while working full time for a qualifying employer.
PI270806970
