Utilization Review Specialist

Join Newport Healthcare: Transform Lives Through Meaningful Work!

Are you ready to embark on a rewarding career in psychiatric healthcare? At Newport Healthcare, we are passionate about delivering exceptional mental health services to individuals in need. Our comprehensive approach covers the entire spectrum of care, creating a wealth of diverse roles for those who aspire to make a real impact. We believe in nurturing talent and fostering professional growth in a supportive environment. Here, you won't just find a job-you'll discover a fulfilling career path in the mental health field.

If you're eager to contribute to a mission-driven organization and help change lives for the better, we invite you to join our dedicated team at Newport Healthcare. Together, we can make a profound difference in the lives of those we serve!

Join Our Team as a Utilization Review Specialist!

Are you ready to make a difference in the lives of clients seeking recovery? We're looking for a passionate and dedicated Utilization Review Specialist to join our dynamic team!

In this pivotal role, you will manage an active caseload across various Levels of Care, including Detox, Residential, Partial Hospitalization, and Intensive Outpatient. You'll be the crucial link between insurance companies, clients, their families, and our Clinical Team, ensuring seamless communication and support throughout the treatment journey.

What You'll Do:

• Coordinate & Communicate: Schedule and conduct initial, concurrent, peer, and retrospective reviews with precision, utilizing your clinical knowledge to advocate for our clients' needs.
• Optimize Benefits: Manage reviews to maximize coverage and benefits while representing our Utilization Review Department with professionalism and positivity.
• Keep Families Informed: Maintain regular contact with clients' families, providing them with timely updates on insurance authorizations, peer reviews, and any denials.
• Collaborate for Success: Work closely with clinicians and the multidisciplinary team to gather essential clinical documentation and ensure effective resource utilization.
• Engage in Team Meetings: Participate in weekly Treatment Team and Continuing Care Meetings to stay aligned and informed.
• Prepare Appeals: Take charge of preparing and submitting appeal documentation, including rationales, to ensure our clients receive the care they deserve.
• Document with Precision: Keep detailed records of all activities in our CRM/EMR systems, ensuring transparency and accountability.

Why Join Us?

• Be part of a compassionate team dedicated to transforming lives.
• Work in a supportive environment where your expertise is valued.
• Engage in meaningful collaboration with healthcare professionals and families.

If you're ready to take on this rewarding challenge and help clients navigate their path to recovery, we want to hear from you! Apply today and be the change you wish to see!

What We're Looking For:

Experience:

• At least 2 years of work experience in the behavioral health field. Your background will help us provide the best care possible!

Licensure:

• An active license or credential in a behavioral health field is preferred. Show us your credentials and let's make a difference together!

Education:

• • A Bachelor's or Master's in a behavioral health-related specialty is preferred. Your educational background will be a valuable asset in our mission!

We are excited to hear about your interest in this opportunity! If you have any questions or need assistance with the application process, please feel free to contact me directly at Sydney Spencer, either via email at sydney.spencer@newporthealthcare.com or by phone at 615-961-4138. If you need further support, you are also welcome to reach out to our careers and management team at careers@newporthealthcare.com. Ready to Join Us?

Newport Healthcare provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability status, protected veteran status, genetic information, or any other characteristic protected by federal, state, or local laws. Newport Healthcare is committed to ensuring equal employment opportunity, including providing reasonable accommodations to individuals with a disability. Applicants with a physical or mental disability who require a reasonable accommodation for any part of the application or hiring process please email accommodations@newportacademy.com for assistance.

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