UR Specialist Position Available In Santa Rosa, Florida

UR Specialist Bowling Green Inn of Pensacola Navarre, FL 32566 Are you prepared for the impact you can make in your career at a well-respected treatment center in Navarre, Florida? If so, you may enjoy working at Twelve Oaks Recovery Center, an addiction and co-occurring mental health treatment facility that provides a full continuum of care for adults. Our skilled professionals are focused on sharing their knowledge and expertise to help you get acclimated to your new role. Along with detailed training and continual support, our staff will give you the autonomy you need to achieve your career goals. You will love working to make a difference in the lives of our patients as you collaborate with other professionals and a supportive management team. Twelve Oaks Recovery is looking to hire a part-time Utilization Review Specialist . The role of our UR Specialist is to proactively monitor utilization of services for patients to optimize reimbursement for the facility. If this sounds like the place for you, contact us today. For more information about this opportunity, please call

Brenda Maynard, HR Director:

850-939-1200 x203.

RESPONSIBILITIES

Act as liaison between managed care organizations and the facility professional clinical staff. Conduct reviews, in accordance with certification requirements, of insurance plans or other managed care organizations (MCOs) and coordinate the flow of communication concerning reimbursement requirements. Monitor patient length of stay and extensions and inform clinical and medical staff on issues that may impact length of stay. Gather and develop statistical and narrative information to report on utilization, non-certified days (including identified causes and appeal information), discharges and quality of services, as required by the facility leadership or corporate office. Conduct quality reviews for medical necessity and services provided. Facilitate peer review calls between facility and external organizations. Initiate and complete the formal appeal process for denied admissions or continued stay. Assist the admissions department with pre-certifications of care. Provide ongoing support and training for staff on documentation or charting requirements, continued stay criteria and medical necessity updates.

EDUCATION/EXPERIENCE/SKILL REQUIREMENTS

High school diploma or equivalent required.

BENEFITS

Twelve Oaks provides a comprehensive package of benefits for all Full-Time and Part-Time Benefit Eligible employees.

Current benefits include:

Competitive hourly rate with shift differential available Medical, dental, and vision insurance Acadia Healthcare 401(k) plan General Paid Time off to include: Vacation, Sick, Personal Days, and Extended Sick Leave Excellent training program Professional growth opportunity that is second to none in the industry. Join a team with defined career paths and a national family of hospitals and facilities Experience Required 1 – 2 years: Considerable knowledge/experience in the medical field working with Insurance companies. Skills Preferred Planning & Organizing Leadership Attention to

Detail Communication Behaviors Preferred Detail Oriented:

Capable of carrying out a given task with all details necessary to get the task done well

Team Player:

Works well as a member of a group

Leader:

Inspires teammates to follow them

Motivations Preferred Self-Starter:

Inspired to perform without outside help Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities 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.