Utilization Review Specialist (URS)

Overview:

*Utilization Review Specialist - Behavioral Health*

We offer a collaborative work environment, competitive compensation, and flexible scheduling so you can focus on what really matters–providing quality patient care. Join our team in Olathe, Kansas to build a career that touches lives.

• Affordable medical, dental and vision plans provided to meet the needs of full employees and their families
• Up to 16 days of PTO for full time employees
• 6 paid holidays for full time employees
• Tuition reimbursement
• 401(k) retirement plan
• Flexible spending and health savings accounts
• UKG Wallet - We've partnered with UKG Wallet, a voluntary Earned Wage Access benefit, to offer employees access to their pay on their own schedule

Position Details:

What you will do in this role:

• Displays knowledge of clinical criteria, managed care requirements for inpatient and outpatient authorization and advocates on behalf of the patient to secure coverage for needed services.
• Reports appropriate denial, and authorization information to designated resource.
• Works with DON to ensure documentation requirements are met.
• Interface with managed care organizations, external reviews, and other payers.
• Other duties as assigned.

Qualifications:

Qualifications:

• Bachelor’s degree required. Master’s degree preferred.
• Previous utilization review experience in a psychiatric healthcare facility preferred.
• Current unencumbered clinical license strongly preferred.
• CPR certification and Crisis Prevention Training (CPI) preferred. May be required to work flexible hours and overtime