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Utilization Review Specialist

Company: Centerstone
Location: Bradenton
Posted on: April 8, 2021

Job Description:

At Centerstone, our mission is delivering care that changes people's lives. For over 60 years, Centerstone has been providing community-based behavioral health care, substance-abuse treatment and therapeutic foster care services across the U.S. We're committed to bringing passionate and customer experience-focused individuals to help us continue to provide the best care to our communities. If you think you're a good match to join our organization, please review the career opportunity below and submit your application. We look forward to hearing from you!
Job Description:CENTERSTONE POSITION DESCRIPTIONPosition Title: Utilization Review Specialist Job Code: 260Position Summary: Knowledge of utilization review process with the ability to review continued length of stay, assure appropriate allocation of facility resources by striving to provide quality client care in the most cost-effective manner. Monitor chart quality of representative sample of Crisis Stabilization Unit charts.Minimum Qualifications: Bachelor's Degree and 2 years' behavioral health experience.Preferred Qualification: Special Skills, Knowledge and Abilities:--Essential Functions/Job Duties: Performs utilization and financial case management. Maintains a clear description of methodology used in conducting utilization review/financial case management role. Assures proper information is relayed to third party provider in timely fashion. Assures continued need for stay is documented. Meets appropriate deadlines for certification and recertification. Documents activities for later review. Assures appropriate consents are signed for information release and maintains confidentiality policies. Makes Clinical Director, UR Coordinator aware of client/payor issues. Communicates effectively with treatment team including psychiatrist to ensure appropriate length of stay. Train Case Managers. Function as team leader for other UR positions, giving guidance and training. Coordinate flow of information between UR, units, and fiscal staff.Work Environment/Physical Demands: Usually, normal office working conditions. The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. The noise level in the work environment varies from quiet to loud. Sedentary to light work. Exerting up to 20 pounds of force occasionally and/or negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects, including the human body. Sedentary work involves sitting most of the time.Position Type, Expected Hours of Work and Travel: This is a full-time position, weekday and weekend hours available.Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice. __________________________________________________________________________________________________ Employee Name (Print) Employee Signature Date Centerstone is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex, age, status as a protected veteran, among other things, or status as a qualified individual with disability. Time Type:Full timeDelivering Care that Changes People's Lives starts with our employees. As a Centerstone employee there are many perks to enjoy. Below are just some of the great benefits you might be eligible for with Centerstone.

  • Health & Wellness
    • Medical Coverage
    • Dental Coverage
    • Vision Coverage
    • Flexible Spending Account
    • Health Savings Account
    • Short Term Disability
    • Long Term Disability - Company Paid
    • Wellness Programs - Company Paid
      • Financial Wellbeing
        • Competitive Compensation Packages
        • Life Insurance - Company Paid
        • Accidental Death & Dismemberment Insurance - Company Paid
        • 403b Retirement Plan with Company Funded Matching
        • Retirement and Financial Planning Services
        • Employee Discounts including Dell Computers, Verizon Wireless, Liberty Mutual, Costco, and Enterprise Rent-a-Car
        • Loan Forgiveness options through federal programs (National Health Service Corps & Public Service Loan Forgiveness)
        • Career Development and Growth
          • At Centerstone training is one of our highest priorities. We provide company paid professional training for various skills, certifications, and continuing education
          • Opportunities for growth and movement - We encourage our employees to consider new growth opportunities with us and have a 5 state footprint for those looking to relocate geographically
          • Centerstone Research Institute and Center for Clinical Excellence teach provide staff with industry best practices and processes
          • Work Life Balance
            • Paid Time Off - Generous PTO for Vacations, Illness, Personal Days, Etc. (Paid Holidays)
            • Flexible Work Schedules to promote a Healthy Work Life Balance
            • Employee Assistance Program - assists employees with personal problems and/or work-related problems that may impact their job performance, health, mental and emotional well-beingCenterstone is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, gender, disability, sexual orientation, marital status, or protected veteran status. Posted 2 Days Ago Full time JR-009013 About Us Centerstone is a not-for-profit health system providing mental health and substance use disorder treatments. Services are available nationally through the operation of outpatient clinics, residential programs, the use of telehealth and an inpatient hospital. Centerstone also features specialized programs for the military community, therapeutic foster care, children's services and employee assistance programs. Centerstone's Research Institute provides guidance through
              research and technology, leveraging the best practices for use in all our communities. Centerstone's Foundation secures philanthropic resources to support the work and mission of delivering care that changes people's lives.

Keywords: Centerstone, Bradenton , Utilization Review Specialist, IT / Software / Systems , Bradenton, Florida

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