... you'll contribute Utilization Review Specialist facilitates clinical reviews on all patient ... UR advocates on behalf of patients with substance abuse, dual diagnosis, psychiatric or emotional ...
... you'll contribute Utilization Review Specialist facilitates clinical reviews on all patient ... UR advocates on behalf of patients with substance abuse, dual diagnosis, psychiatric or emotional ...
Previous utilization review experience in a psychiatric healthcare facility preferred. * License: Current unencumbered clinical license strongly preferred. * Additional Requirements: CPR ...
Previous utilization review experience in a psychiatric healthcare facility preferred. * License: Current unencumbered clinical license strongly preferred. * Additional Requirements: CPR ...
... you'll contribute Utilization Review Specialist facilitates clinical reviews on all patient ... UR advocates on behalf of patients with substance abuse, dual diagnosis, psychiatric or emotional ...
... you'll contribute Utilization Review Specialist facilitates clinical reviews on all patient ... UR advocates on behalf of patients with substance abuse, dual diagnosis, psychiatric or emotional ...
Previous utilization review experience in a psychiatric healthcare facility preferred. * License: Current unencumbered clinical license strongly preferred. * Additional Requirements: CPR ...
Previous utilization review experience in a psychiatric healthcare facility preferred. * License: Current unencumbered clinical license strongly preferred. * Additional Requirements: CPR ...
... in patients with acute psychiatric and complex medical needs. Our hospitals use an ... Utilization Review Coordinator to coordinate patients' services across the continuum of care by ...
... in patients with acute psychiatric and complex medical needs. Our hospitals use an ... Utilization Review Coordinator to coordinate patients' services across the continuum of care by ...
... in patients with acute psychiatric and complex medical needs. Our hospitals use an ... Utilization Review Coordinator to coordinate patients' services across the continuum of care by ...
... in patients with acute psychiatric and complex medical needs. Our hospitals use an ... Utilization Review Coordinator to coordinate patients' services across the continuum of care by ...
... in patients with acute psychiatric and complex medical needs. Our hospitals use an ... Utilization Review Coordinator to coordinate patients' services across the continuum of care by ...
... in patients with acute psychiatric and complex medical needs. Our hospitals use an ... Utilization Review Coordinator to coordinate patients' services across the continuum of care by ...
Critical utilization management functions during the admission phase include admission review for ... Submission of 1261A forms within 14 days of admission for each Medicaid Psychiatric admission.
Critical utilization management functions during the admission phase include admission review for ... Submission of 1261A forms within 14 days of admission for each Medicaid Psychiatric admission.
W/Alt UM Nurse (BHS)
Granger, IN · On-site
Critical utilization management functions during the admission phase include admission review for ... Submission of 1261A forms within 14 days of admission for each Medicaid Psychiatric admission.
W/Alt UM Nurse (BHS)
Granger, IN · On-site
Critical utilization management functions during the admission phase include admission review for ... Submission of 1261A forms within 14 days of admission for each Medicaid Psychiatric admission.
Director of Assessment
$65K - $90K/yr
Psychiatric evaluations and risk assessments * Levels of care and placement criteria * Medical necessity and utilization review standards * Demonstrated ability to balance clinical judgment, access ...
Director of Assessment
$65K - $90K/yr
Psychiatric evaluations and risk assessments * Levels of care and placement criteria * Medical necessity and utilization review standards * Demonstrated ability to balance clinical judgment, access ...
... is psychiatric inpatient admissions and treatment * Some coverage for Intensive Outpatient Program (IOP) * Daily multidisciplinary treatment team meetings * Unit supported by Utilization Review (UR ...
... is psychiatric inpatient admissions and treatment * Some coverage for Intensive Outpatient Program (IOP) * Daily multidisciplinary treatment team meetings * Unit supported by Utilization Review (UR ...
UR Coordinator (PRN)
Kouts, IN · On-site
... a psychiatric or mental health setting. Experience in patient assessment, family motiviation, treatment planning and communication with external review organizations or comparable entities. • RN, ...
UR Coordinator (PRN)
Kouts, IN · On-site
... a psychiatric or mental health setting. Experience in patient assessment, family motiviation, treatment planning and communication with external review organizations or comparable entities. • RN, ...
Perform and complete psychiatric evaluations and/or physical examinations for all new clients ... Ensure drug-utilization reviews are completed and documented per policy, including adherence to "do ...
Quick apply
Perform and complete psychiatric evaluations and/or physical examinations for all new clients ... Ensure drug-utilization reviews are completed and documented per policy, including adherence to "do ...
Perform and complete psychiatric evaluations and/or physical examinations for all new clients ... Ensure drug-utilization reviews are completed and documented per policy, including adherence to "do ...
Quick apply
Perform and complete psychiatric evaluations and/or physical examinations for all new clients ... Ensure drug-utilization reviews are completed and documented per policy, including adherence to "do ...
Perform and complete psychiatric evaluations and/or physical examinations for all new clients ... Ensure drug-utilization reviews are completed and documented per policy, including adherence to "do ...
Perform and complete psychiatric evaluations and/or physical examinations for all new clients ... Ensure drug-utilization reviews are completed and documented per policy, including adherence to "do ...
Perform and complete psychiatric evaluations and/or physical examinations for all new clients ... Ensure drug-utilization reviews are completed and documented per policy, including adherence to "do ...
Perform and complete psychiatric evaluations and/or physical examinations for all new clients ... Ensure drug-utilization reviews are completed and documented per policy, including adherence to "do ...
Perform and complete psychiatric evaluations and/or physical examinations for all new clients ... Ensure drug-utilization reviews are completed and documented per policy, including adherence to "do ...
Perform and complete psychiatric evaluations and/or physical examinations for all new clients ... Ensure drug-utilization reviews are completed and documented per policy, including adherence to "do ...
... services for clients with psychiatric disorders and psychopharmocology. * Maintains ... in utilization reviews; remaining available for emergency consultations. * Improves staff ...
... services for clients with psychiatric disorders and psychopharmocology. * Maintains ... in utilization reviews; remaining available for emergency consultations. * Improves staff ...
... services for clients with psychiatric disorders and psychopharmocology. * Maintains ... in utilization reviews; remaining available for emergency consultations. * Improves staff ...
... services for clients with psychiatric disorders and psychopharmocology. * Maintains ... in utilization reviews; remaining available for emergency consultations. * Improves staff ...
... services for clients with psychiatric disorders and psychopharmocology. * Maintains ... in utilization reviews; remaining available for emergency consultations. * Improves staff ...
... services for clients with psychiatric disorders and psychopharmocology. * Maintains ... in utilization reviews; remaining available for emergency consultations. * Improves staff ...
Psychiatric Utilization Review information
What are the key skills and qualifications needed to thrive in the Psychiatric Utilization Review position, and why are they important?
To thrive as a Psychiatric Utilization Review professional, you typically need a background in nursing, social work, or behavioral health, along with a strong understanding of mental health diagnoses, treatment planning, and insurance guidelines. Familiarity with clinical documentation, electronic medical record (EMR) systems, and utilization management software is important, and certification such as Certified Case Manager (CCM) can be advantageous. Excellent analytical thinking, attention to detail, and effective communication skills help you advocate for patients and collaborate with healthcare providers. These skills ensure objective, fair, and efficient case reviews that support quality care and appropriate resource use.
What does a typical day look like for someone working in Psychiatric Utilization Review?
A typical day in Psychiatric Utilization Review involves reviewing patient medical records to evaluate the appropriateness and medical necessity of inpatient or outpatient psychiatric care. You will interact with providers, payers, and clinical teams to gather information, clarify treatment plans, and ensure compliance with insurance and regulatory criteria. Much of the work is independent, but collaboration with multidisciplinary teams is common, especially when resolving complex cases or conducting peer reviews. You may also participate in meetings, submit timely documentation, and stay up-to-date on benefit guidelines and relevant legislation. This role provides a dynamic blend of clinical assessment, administrative responsibilities, and teamwork in a healthcare setting.
What is a Psychiatric Utilization Review job?
A Psychiatric Utilization Review job involves evaluating the medical necessity, appropriateness, and efficiency of mental health treatments. Professionals in this role review patient cases, treatment plans, and insurance policies to ensure compliance with guidelines and cost-effectiveness. They collaborate with healthcare providers and insurance companies to authorize services and prevent unnecessary care. Their goal is to balance quality patient care with cost containment.
What are popular job titles related to Psychiatric Utilization Review jobs in Indiana? For Psychiatric Utilization Review jobs in Indiana, the most frequently searched job titles are:
- Utilization Review Nurse
- Remote Chart Review Nurse
- Flex Schedule Remote Utilization Review Nurse
- Utilization Management
- Cvs Health Utilization Management
- Part Time Utilization Review Nurse
- Utilization Review Physician
- No Experience Utilization Review Nurse
- Night Utilization Review Nurse
- Remote Utilization Review Nurse
What job categories do people searching Psychiatric Utilization Review jobs in Indiana look for? The top searched job categories for Psychiatric Utilization Review jobs in Indiana are:
Full-time
Medical, Dental, Vision, Retirement, PTO
Re-posted 18 days ago
LifePoint Health rating
6.0
Based on 268 frontline employees who took The Breakroom Quiz
746th of 885 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.
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.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