Utilization Review Coordinator - (25447)

Location
Fargo, North Dakota
Salary
Join our Team!
Posted
Mar 08, 2018
Ref
25447
Industry
Healthcare
Role
Other
Job Type
Long-Term
Job Description

Prairie St. John's, a 110-bed psychiatric care facility located in Fargo, North Dakota, has been providing services for children, adolescents and adults to address mental health and substance use challenges since 1997. Prairie offers a full-service psychiatric and addiction Continuum of Care.  This Continuum of Care includes inpatient hospitalization, partial hospitalization, residential treatment, intensive outpatient services and clinic services. Prairie St. John's currently has a part time Utilization Review Specialist position available.  The candidates selected will be responsible for the following:
  • Reviews clinical data on assigned patients and attends treatment team meetings to develop an understanding of each patient.
  • Investigates the payer guidelines and the requirements necessary to justify a particular level of care and benefit limitations for each patient.
  • Communicates this information with the treatment team and educates on what, if any, documentation is necessary.
  • This position will be scheduled to work 20 hours per week from 8 am to 4:30 pm.


Job Requirements

Requires licensure as an LPCC, LPC, LCSW, LMFT, or maintains current licensure as an RN

Must have critical thinking skills, problem-solving and the ability to communicate and make safe judgment calls.

Must be able to multi-task and communicate in a professional manner in both verbal and written format.

Must have basic computer skills using Microsoft Office Outlook and email.

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