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Springstone is a leading provider of high quality behavioral health care services in numerous markets throughout the United States. Springstone fulfills its mission of Changing People's Lives by building and operating innovative behavioral health care hospitals and outpatient locations that feature attractive design, nurturing environments, quality programming, and a patient-centric approach that delivers superior outcomes.
We are seeking compassionate people who want to join us in providing high quality care to patients suffering from mental illness and addiction. Our employees are highly engaged and perform meaningful work everyday. Interested? Search our current openings listed below.
Position: Columbus Springs East -Utilization Review Specialist Location: Columbus, OH Job Id: 3630 # of Openings: 1
Utilization Review Specialist
Columbus Springs East is a 72-bed behavioral hospital located in Columbus. The hospital offers inpatient and outpatient mental health and addiction treatment to adults, adolescents and their families. At Columbus Springs East we are dedicated to Changing Peoples Lives.
The Utilization Review department plays an essential role in helping fulfill our mission of Changing Peoples Lives. Utilization Review team members advocate on behalf of our patients to managed care providers for necessary treatment. As a Utilization Review Specialist, you will accurately and timely complete utilization review activities.
Members of our team Enjoy:
Working with a highly engaged staff
Healthy staffing levels
A Comprehensive Benefit package is offered to Full and Part time team members
Actively Communicate with interdisciplinary team members to acquire information and give updates on authorizations
Ensure all pre-certifications are completed for inpatient and outpatient services.
Monitor hospital LOS, report appropriately.
Work with Director of Nursing to ensure documentation requirements are met
Interface with managed care organizations, external reviews, and other payers.
Current encumbered clinical licensure and valid drivers license
CPR and CPI Certification within 30 day of employment
Previous utilization review experience in a psychiatric healthcare facility preferred