Job description

Come join our Utilization Management (UM) team as a Utilization Review (UR) Specialist at Acadia Healthcare-River Place Behavioral Health! If you are passionate and dedicated to making a difference in the lives of those in need through compassionate therapeutic practices while working in a team environment that supports learning and growth, this position is right for you!

River Place Behavioral Health Hospital, a service of Ochsner Health System, is an 82 bed state of the art hospital located in Laplace, Louisiana. This is a PRN or Per Diem position working on an as-needed basis.

As a Utilization Review Specialist at River Place you will participate in the development and implementation of patients' treatment plan by:

-Providing consultation and guidance regarding admissions and patient length of stay to a variety of payers.

-Securing authorizations with insurance companies for inpatient treatment and continue to obtain authorizations through ongoing clinical reviews until patient discharges from treatment.

-Evaluating the utilization operation for compliance with mandatory policies and procedures.

-Reviewing clinical documentation from denied stays against criteria to determine if documentation is adequate for requested treatment.

-Maintaining efficient, positive customer service attitude towards patients, their families and co-workers while being responsive to customer needs.

EDUCATION/EXPERIENCE/SKILL REQUIREMENTS:

· Associate's degree in nursing (LPN or RN) required. Bachelor's or Master’s degree in social work, behavioral or mental health, nursing or other related health field preferred.

· Two or more years' experience with the population of the facility and previous experience in utilization management preferred.

LICENSES/DESIGNATIONS/CERTIFICATIONS:

· Current licensure as an LPN or RN with the state of LA; or current clinical professional license or certification, as required.

Pay: $23.00 - $25.00 per hour

Medical specialties:

• Psychiatry

Physical setting:

• Acute care
• Hospital
• Inpatient

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday
• Weekend availability

COVID-19 considerations:
This facility requires you to be fully vaccinated for Covid-19 based on local, state and/or federal law or regulations (unless a medical or religious exemption is approved).

Education:

• Associate (Required)

Experience:

• Behavioral health: 2 years (Required)
• Utilization management: 1 year (Preferred)

License/Certification:

• clinical professional license or certification (Preferred)

Work Location: One location

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