... and behavioral health facilities from coast to coast. From your first day to your next career milestone-your experience matters How you'll contribute Utilization Review Specialist facilitates ...
... and behavioral health facilities from coast to coast. From your first day to your next career milestone-your experience matters How you'll contribute Utilization Review Specialist facilitates ...
... and behavioral health facilities from coast to coast. From your first day to your next career milestone-your experience matters How you'll contribute Utilization Review Specialist facilitates ...
... and behavioral health facilities from coast to coast. From your first day to your next career milestone-your experience matters How you'll contribute Utilization Review Specialist facilitates ...
... and behavioral health facilities from coast to coast. From your first day to your next career milestone-your experience matters How you'll contribute Utilization Review Specialist facilitates ...
... and behavioral health facilities from coast to coast. From your first day to your next career milestone-your experience matters How you'll contribute Utilization Review Specialist facilitates ...
... and behavioral health facilities from coast to coast. From your first day to your next career milestone-your experience matters How you'll contribute Utilization Review Specialist facilitates ...
... and behavioral health facilities from coast to coast. From your first day to your next career milestone-your experience matters How you'll contribute Utilization Review Specialist facilitates ...
... and behavioral health facilities from coast to coast. From your first day to your next career milestone-your experience matters How you'll contribute Utilization Review Specialist facilitates ...
... and behavioral health facilities from coast to coast. From your first day to your next career milestone-your experience matters How you'll contribute Utilization Review Specialist facilitates ...
... and behavioral health facilities from coast to coast. From your first day to your next career milestone-your experience matters How you'll contribute Utilization Review Specialist facilitates ...
... and behavioral health facilities from coast to coast. From your first day to your next career milestone-your experience matters How you'll contribute Utilization Review Specialist facilitates ...
NeuroPsychiatric Hospitals is a national leader in behavioral healthcare, specializing in patients ... Utilization Review Coordinator to coordinate patients' services across the continuum of care by ...
NeuroPsychiatric Hospitals is a national leader in behavioral healthcare, specializing in patients ... Utilization Review Coordinator to coordinate patients' services across the continuum of care by ...
NeuroPsychiatric Hospitals is a national leader in behavioral healthcare, specializing in patients ... Utilization Review Coordinator to coordinate patients' services across the continuum of care by ...
NeuroPsychiatric Hospitals is a national leader in behavioral healthcare, specializing in patients ... Utilization Review Coordinator to coordinate patients' services across the continuum of care by ...
NeuroPsychiatric Hospitals is a national leader in behavioral healthcare, specializing in patients ... Utilization Review Coordinator to coordinate patients' services across the continuum of care by ...
NeuroPsychiatric Hospitals is a national leader in behavioral healthcare, specializing in patients ... Utilization Review Coordinator to coordinate patients' services across the continuum of care by ...
... oversees utilization management including, but not limited to: utilization review, case ... behavioral health disorders experience. Work Location: In person
... oversees utilization management including, but not limited to: utilization review, case ... behavioral health disorders experience. Work Location: In person
Why Choose Saint Joseph Health System? * At Saint Joseph Health System, our values guide every ... Maintain accurate records, compile reports, and support utilization review program operations
Why Choose Saint Joseph Health System? * At Saint Joseph Health System, our values guide every ... Maintain accurate records, compile reports, and support utilization review program operations
Why Choose Saint Joseph Health System? * At Saint Joseph Health System, our values guide every ... Maintain accurate records, compile reports, and support utilization review program operations
Why Choose Saint Joseph Health System? * At Saint Joseph Health System, our values guide every ... Maintain accurate records, compile reports, and support utilization review program operations
Utilization Review Manager - SUD | Anabranch Recovery Center | Terre Haute, Indiana About the Job ... behavioral or mental health, or other related health field preferred. • Two or more year ...
Utilization Review Manager - SUD | Anabranch Recovery Center | Terre Haute, Indiana About the Job ... behavioral or mental health, or other related health field preferred. • Two or more year ...
... behavioral or mental health, or other related health field preferred. * One or more years of direct ... At least one year experience in utilization review preferred. ESSENTIAL FUNCTIONS: * Performs ...
... behavioral or mental health, or other related health field preferred. * One or more years of direct ... At least one year experience in utilization review preferred. ESSENTIAL FUNCTIONS: * Performs ...
Utilization Review RN
Indianapolis, IN · On-site
$30 - $34/hr
Our health plan companies deliver quality products and services that give their members access to ... Expected to review 20 cases a day with a 95% accuracy rate. Responsible for collaborating with ...
Utilization Review RN
Indianapolis, IN · On-site
$30 - $34/hr
Our health plan companies deliver quality products and services that give their members access to ... Expected to review 20 cases a day with a 95% accuracy rate. Responsible for collaborating with ...
Company Description Why You Should Work For Us: HealthCare Support Staffing, Inc. (HSS), is a ... setting reviews to ensure compliance with applicable criteria, medical policy, and member ...
Company Description Why You Should Work For Us: HealthCare Support Staffing, Inc. (HSS), is a ... setting reviews to ensure compliance with applicable criteria, medical policy, and member ...
... thorough review of the total resources available to patient pre and post-discharge from ... available health coverage resources for each patient. * Completes pre-certification and prior ...
Quick apply
... thorough review of the total resources available to patient pre and post-discharge from ... available health coverage resources for each patient. * Completes pre-certification and prior ...
... thorough review of the total resources available to patient pre and post-discharge from ... available health coverage resources for each patient. * Completes pre-certification and prior ...
... thorough review of the total resources available to patient pre and post-discharge from ... available health coverage resources for each patient. * Completes pre-certification and prior ...
... thorough review of the total resources available to patient pre and post-discharge from ... available health coverage resources for each patient. * Completes pre-certification and prior ...
New
... thorough review of the total resources available to patient pre and post-discharge from ... available health coverage resources for each patient. * Completes pre-certification and prior ...
New
... thorough review of the total resources available to patient pre and post-discharge from ... available health coverage resources for each patient. * Completes pre-certification and prior ...
New
... thorough review of the total resources available to patient pre and post-discharge from ... available health coverage resources for each patient. * Completes pre-certification and prior ...
New
Internship Behavioral Health Utilization Review information
What is the difference between Internship Behavioral Health Utilization Review vs Behavioral Health Case Manager?
| Aspect | Internship Behavioral Health Utilization Review | Behavioral Health Case Manager |
|---|---|---|
| Credentials | Typically in training, no required certifications | Often requires licensure or certification (e.g., LCSW, LPC) |
| Work Environment | Internship setting, supervised, often in healthcare or insurance companies | Clinical settings, community agencies, hospitals |
| Job Focus | Assisting with review of treatment plans, insurance authorization, and utilization data | Providing direct client support, care coordination, and treatment planning |
While Internship Behavioral Health Utilization Review involves supporting the review process and insurance authorization under supervision, Behavioral Health Case Managers focus on direct client care and coordination. Both roles are essential in mental health services but differ in responsibilities, experience requirements, and work settings.
What are the most commonly searched types of Behavioral Health Utilization Review jobs in Indiana? The most popular types of Behavioral Health Utilization Review jobs in Indiana are:
What cities in Indiana are hiring for Internship Behavioral Health Utilization Review jobs? Cities in Indiana with the most Internship Behavioral Health Utilization Review job openings:
Full-time
Medical, Dental, Vision, Retirement, PTO
Posted 7 days ago
LifePoint Health rating
6.0
Based on 271 frontline employees who took The Breakroom Quiz
748th of 887 rated healthcare providers
Job description
Your experience matters
At Sycamore Springs, we are committed to empowering and supporting a diverse and determined workforce who can drive quality, scalability, and significant impact across our hospitals and communities. In your role, you'll support those that are in our facilities who are interfacing and providing care to our patients and community members. We believe that our collective efforts will shape a healthier future for the communities we serve.
What we offer
Fundamental to providing great care is supporting and rewarding our team. In addition to your base compensation, this position also offers:
- Health (Medical, Dental, Vision) and 401K Benefits for full-time employees
- Competitive Paid Time Off
- Employee Assistance Program - mental, physical, and financial wellness assistance
- Tuition Reimbursement/Assistance for qualified applicants
- And much more...
About Us
People are our passion and purpose. Sycamore Springs is a 48 bed hospital located in Layfette, IN and is part of Lifepoint Health, a diversified healthcare delivery network committed to making communities healthier® with acute care, rehabilitation, and behavioral health facilities from coast to coast. From your first day to your next career milestone-your experience matters
How you'll contribute
Utilization Review Specialist facilitates clinical reviews on all patient admissions and continued stays. UR analyzes patient records to determine legitimacy of admission, treatment, and length of stay and interfaces with managed care organizations, external reviewers and other payers. UR advocates on behalf of patients with substance abuse, dual diagnosis, psychiatric or emotional disorders to managed care providers for necessary treatment. UR contacts external case managers/managed care organizations for certification of insurance benefits throughout the patient's stay and assists the treatment team in understanding the insurance company's requirements for continued stay and discharge planning.
Essential Functions:
- 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
- Completes pre and re-certifications for inpatient and outpatient services. Reports appropriate denial, and authorization information to designated resource.
- Actively communicates with interdisciplinary team to acquire pertinent information and give updates on authorizations.
- Participate in treatment teams to ensure staff have knowledge of coverage and to collect information for communication with agencies.
- Works with DON to ensure documentation requirements are met.
- Ensure appeals are completed thoroughly and on a timely basis.
- Interface with managed care organizations, external reviews, and other payers.
- Communicate with physicians to schedule peer to peer reviews.
- Accurately report denials.
Qualifications and requirements
Bachelor's Degree
Previous utilization review experience in a psychiatric healthcare facility preferred.
EEOC Statement:
Sycamore Springs is committed to providing Equal Employment Opportunities for all applicants and employees and complies with all applicable laws prohibiting discrimination against any employee or applicant for employment because of color, race, sex, age, religion, national origin, disability, genetic information, gender identity, sexual orientation, veterans' status or any other basis protected by applicable federal, state or local law.
About Us
Lifepoint Health is a leader in community-based care and driven by a mission of Making Communities Healthier. Our diversified healthcare delivery network spans 29 states and includes 63 community hospital campuses, 32 rehabilitation and behavioral health hospitals, and more than 170 additional sites of care across the healthcare continuum, such as acute rehabilitation units, outpatient centers and post-acute care facilities. We believe that success is achieved through talented people. We want to create places where employees want to work, with opportunities to pursue meaningful and satisfying careers that truly make a difference in communities across the country.
About the Team
We employ and provide care to people from all walks of life. We are committed to promoting healing, providing hope, preserving dignity and producing value with an inclusive workforce in which diversity is leveraged, respected, and reflective of the patients, family members, customers and team members we serve.
What LifePoint Health employees say
Pay
Benefits
Hours and flexibility
Workplace
Get the full story on Breakroom
About LifePoint Health
Sourced by ZipRecruiter
Lifepoint Health serves patients, clinicians, communities and partners across the healthcare continuum. Our diversified healthcare delivery network extends from coast to coast, consisting of community hospitals, rehabilitation and behavioral health hospitals, and additional sites of care.
Industry
Health care and social assistance
Company size
10,000+ Employees
Headquarters location
Brentwood, TN, US
Year founded
1999