Utilization Review Specialist
Sheppard Pratt, Towson, MD, United States
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.
Knowledge, Skills, and Abilities Required
:
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.
Benefits:
At Sheppard Pratt, you will work alongside a multi-disciplined team led by a bold vision to change lives. We offer:
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
The pay range for this position is $18.50/hr minimum to $26.04/hr maximum. Pay for this position is determined on a number of factors, including but not limited to, years and level of related experience.
#LI-EH1
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.
For further information, please review the Know Your Rights notice from the Department of Labor.
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.
Knowledge, Skills, and Abilities Required
:
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.
Benefits:
At Sheppard Pratt, you will work alongside a multi-disciplined team led by a bold vision to change lives. We offer:
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
The pay range for this position is $18.50/hr minimum to $26.04/hr maximum. Pay for this position is determined on a number of factors, including but not limited to, years and level of related experience.
#LI-EH1
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.
For further information, please review the Know Your Rights notice from the Department of Labor.