Utilization Review Specialist (Full Time)

Sheppard Pratt

14d • $19 - $26

About The Position

General Summary:

Responsible for supporting the utilization review system including data
analysis, report writing, and program improvement.
UR Specialist will develop and maintain a VOD Tracking and Receipt system. 
UR Specialist will maintain an expert level review of client entitlements and
billing authorizations. 
Also responsible for securing authorizations and tracking entitlements for
enrolled clients.

Requirements

• Knowledge of the public mental health system and programs, generally acquired through a bachelor’s degree in Social Work or Psychology or related degree OR (2) years related work experience.
• Knowledge of computers and spreadsheet software.
• Experience with Maryland ASO or other utilization review processes.
• Substantial level of interpersonal skills in order to communicate effectively with outside agencies and internal customers.
• Good assessment and clinical skills, including a preeminent knowledge of the rehabilitation model.
• Excellent organization skills.

Responsibilities

• supporting the utilization review system including data analysis, report writing, and program improvement
• develop and maintain a VOD Tracking and Receipt system
• maintain an expert level review of client entitlements and billing authorizations
• securing authorizations and tracking entitlements for enrolled clients

Benefits

• A commitment to professional development, including a comprehensive tuition reimbursement program to support ongoing education and licensure and/or certification preparation
• Comprehensive medical, dental and vision benefits for benefit eligible positions
• 403b retirement match
• Generous paid-time-off for benefit eligible positions
• Complimentary Employee Assistance Program (EAP)
• Generous mileage reimbursement program

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level