... 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 ...
Trustaff is seeking a travel nurse RN Pediatric Behavioral Health for a travel nursing job in Fort Wayne, Indiana. & Requirements * Specialty: Pediatric Behavioral Health * Discipline: RN * Start ...
Trustaff is seeking a travel nurse RN Pediatric Behavioral Health for a travel nursing job in Fort Wayne, Indiana. & Requirements * Specialty: Pediatric Behavioral Health * Discipline: RN * Start ...
... 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 ...
Trustaff is seeking a travel nurse RN Pediatric Behavioral Health for a travel nursing job in Fort Wayne, Indiana. & Requirements * Specialty: Pediatric Behavioral Health * Discipline: RN * Start ...
Trustaff is seeking a travel nurse RN Pediatric Behavioral Health for a travel nursing job in Fort Wayne, Indiana. & Requirements * Specialty: Pediatric Behavioral Health * Discipline: RN * Start ...
Pediatric Behavioral Health * Discipline: RN * Start Date: 09/28/2026 * Duration: 13 weeks * 36 hours per week * Shift: 12 hours, nights * Employment Type: Travel As a Behavioral Health RN, also ...
Pediatric Behavioral Health * Discipline: RN * Start Date: 09/28/2026 * Duration: 13 weeks * 36 hours per week * Shift: 12 hours, nights * Employment Type: Travel As a Behavioral Health RN, also ...
Pediatric Behavioral Health * Discipline: RN * Start Date: 09/28/2026 * Duration: 13 weeks * 36 hours per week * Shift: 12 hours, days * Employment Type: Travel As a Behavioral Health RN, also ...
Pediatric Behavioral Health * Discipline: RN * Start Date: 09/28/2026 * Duration: 13 weeks * 36 hours per week * Shift: 12 hours, days * Employment Type: Travel As a Behavioral Health RN, also ...
... 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 ...
Behavioral Health * Discipline: RN * Start Date: 09/21/2026 * Duration: 13 weeks * 36 hours per week * Shift: 12 hours, days * Employment Type: Travel Assignment Overview * Shift: Days, 3x12hrs
Behavioral Health * Discipline: RN * Start Date: 09/21/2026 * Duration: 13 weeks * 36 hours per week * Shift: 12 hours, days * Employment Type: Travel Assignment Overview * Shift: Days, 3x12hrs
... 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 ...
Travel Behavioral Health RN
Lafayette, IN · On-site
$1.7K - $2.3K/wk
Behavioral Health * Discipline: RN * Duration: 13 weeks * 36 hours per week * Shift: 12 hours, days * Employment Type: Travel We're looking for Psychiatric Nurses for an immediate travel nurse ...
Travel Behavioral Health RN
Lafayette, IN · On-site
$1.7K - $2.3K/wk
Behavioral Health * Discipline: RN * Duration: 13 weeks * 36 hours per week * Shift: 12 hours, days * Employment Type: Travel We're looking for Psychiatric Nurses for an immediate travel nurse ...
Pediatric Behavioral Health * Discipline: RN * Start Date: 09/28/2026 * Duration: 13 weeks * 36 hours per week * Shift: 12 hours, days * Employment Type: Travel As a Behavioral Health RN, also ...
Pediatric Behavioral Health * Discipline: RN * Start Date: 09/28/2026 * Duration: 13 weeks * 36 hours per week * Shift: 12 hours, days * Employment Type: Travel As a Behavioral Health RN, also ...
Collaborate with prescribers, nurses, pharmacists, and clinic staff to obtain missing clinical ... Knowledge of electronic health records (EHRs), pharmacy management systems, payer portals, and ...
Quick apply
Collaborate with prescribers, nurses, pharmacists, and clinic staff to obtain missing clinical ... Knowledge of electronic health records (EHRs), pharmacy management systems, payer portals, and ...
Collaborate with prescribers, nurses, pharmacists, and clinic staff to obtain missing clinical ... Knowledge of electronic health records (EHRs), pharmacy management systems, payer portals, and ...
Collaborate with prescribers, nurses, pharmacists, and clinic staff to obtain missing clinical ... Knowledge of electronic health records (EHRs), pharmacy management systems, payer portals, and ...
Performing timely reviews of healthcare services, including precertification and concurrent reviews ... Knowledge of utilization review, managed care, and community health. * The State of Illinois ...
Quick apply
Performing timely reviews of healthcare services, including precertification and concurrent reviews ... Knowledge of utilization review, managed care, and community health. * The State of Illinois ...
Collaborate with prescribers, nurses, pharmacists, and clinic staff to obtain missing clinical ... Knowledge of electronic health records (EHRs), pharmacy management systems, payer portals, and ...
Collaborate with prescribers, nurses, pharmacists, and clinic staff to obtain missing clinical ... Knowledge of electronic health records (EHRs), pharmacy management systems, payer portals, and ...
Utilization Review Manager
Lafayette, IN · On-site
... and behavioral health facilities from coast to coast. From your first day to your next career ... Previous utilization review experience in a psychiatric healthcare facility preferred. Leadership ...
Utilization Review Manager
Lafayette, IN · On-site
... and behavioral health facilities from coast to coast. From your first day to your next career ... Previous utilization review experience in a psychiatric healthcare facility preferred. Leadership ...
Utilization Review Manager
Lafayette, IN · On-site
... and behavioral health facilities from coast to coast. From your first day to your next career ... Previous utilization review experience in a psychiatric healthcare facility preferred. Leadership ...
Utilization Review Manager
Lafayette, IN · On-site
... and behavioral health facilities from coast to coast. From your first day to your next career ... Previous utilization review experience in a psychiatric healthcare facility preferred. Leadership ...
Utilization Management Registered Nurse RN Remote
Gary, IN · On-site
$70K - $75K/yr
Performing timely reviews of healthcare services, including precertification and concurrent reviews ... Knowledge of utilization review, managed care, and community health. * The State of Illinois ...
Utilization Management Registered Nurse RN Remote
Gary, IN · On-site
$70K - $75K/yr
Performing timely reviews of healthcare services, including precertification and concurrent reviews ... Knowledge of utilization review, managed care, and community health. * The State of Illinois ...
Collaborate with prescribers, nurses, pharmacists, and clinic staff to obtain missing clinical ... Knowledge of electronic health records (EHRs), pharmacy management systems, payer portals, and ...
Collaborate with prescribers, nurses, pharmacists, and clinic staff to obtain missing clinical ... Knowledge of electronic health records (EHRs), pharmacy management systems, payer portals, and ...
Utilization Review Behavioral Health Rn information

Utilization Review Specialist
Lafayette, IN • On-site
Full-time
Medical, Dental, Vision, Retirement, PTO
Re-posted 13 days ago
Key responsibilities
Facilitates clinical reviews on patient admissions and continued stays.
Analyzes patient records to determine the legitimacy of admission, treatment, and length of stay, and interfaces with managed care organizations and payers.
Completes pre and re-certifications for inpatient and outpatient services, and communicates authorization and denial information to relevant parties.
LifePoint Health rating
5.9
Based on 273 frontline employees who took The Breakroom Quiz
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. This is a fully onsite position 5 days a week.
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