Utilization Review Specialist

Description

Are you interested in making a difference in the lives of children and adolescents? Do you enjoy working in a collaborative environment with motivated professionals?If you answered YES, then consider joining our Devereux Advanced Behavioral Health team!

 

Being a Utilization Review Specialist at Devereux has its Advantages!  You will work with other dedicated professionals who share your passion for helping individuals in need. 

 

Devereux's Children Behavioral Health Center (DCBHC) is currently seeking a Utilization Review Specialist to work at their acute psychiatric inpatient hospital for children, located in Malvern, PA. 

 

Some of the daily responsibilities include:

• Serves as liaison between parents, agencies and treatment team in planning and implementing continued stay requests and authorizations.   
• Coordinates the utilization of resources and services, acting as a resource for all regulatory and funding issues for inpatient level of care youth.
• Works closely with Clinical and Admissions teams regarding the MCO and insurance funding authorizations. 
• Responsibilities include third-party liability (TPL), MCO continued stay reviews and packet submissions, MCO authorizations, 1:1 tracking, funding verification, appeals and denials processes. 
• Assists Admissions when and where applicable.

What we can offer you!

• A team environment where you can utilize your collaboration skills to work across multiple programs and disciplines
• Engagement within the broad child welfare system, juvenile probation and other support systems
• Opportunities for professional development
• ASCEND- Career Accelerator Program
• Rate of $20.54 - $23.41 an hour (dependent upon experience)

Shift: Monday-Friday 8a-4p

 

***Does require 1 week of orientation.  M-F 9am-5pm in West Chester***

 

DCBHC, the only free standing children’s psychiatric hospital in Chester County, Pennsylvania, employs a team of acute care professionals dedicated to meeting the needs of children and adolescents ages 5-18, and their families, in acute mental health crisis. Many of the individuals we serve are from southeast Pennsylvania, but DCBHC has served children and adolescents from other regions of Pennsylvania as well as neighboring states.

 

Devereux Pennsylvania Children’s Services (DPACS) center serves children, adolescents and young adults with autism spectrum disorders, intellectual and developmental disabilities, behavioral, emotional and psychiatric challenges and disorders. Located in West Chester and Malvern Pennsylvania, services provided include psychiatric residential treatment (PRTF), acute inpatient psychiatric hospital (AIP), assessment services, community-based mental health services, community-based employment training and social skills training, and  approved private school educational services to male and female children and adolescents (6-21 years of age) with diagnoses of intellectual disabilities, autism spectrum disorders, concomitant psychiatric and behavioral challenges often associated with experiencing some level of trauma in their lives. 

#sponsored

Qualifications

EDUCATION:  Bachelor's degree in Social Work, Human Services or related discipline.

 

EXPERIENCE:  One year experience in Social Service or Health Care Service preferred. 

Proficient computer skills, mastery of Microsoft Office Applications, experience with data collection/analyzing platforms (Radar, Pro-Filer, and/or other internal and external software applications pertinent to the position).  Strong organizational skills.  Excellent oral and written communication skills.  Requires ability to work independently, prioritize, manage multiple tasks simultaneously, and adhere to established guidelines.  Valid driver's license must be maintained.

 

Devereux has a zero-tolerance policy for abuse and maintains policies and procedures to systematically reduce the risk of abuse to occur in our organization. Devereux fosters a culture of reporting abuse, and will cooperate with the authorities to the fullest extent possible.

 

Company Overview

Company Overview 

Devereux is one of the nation’s largest nonprofit organizations, providing services, insight and leadership in the evolving field of behavioral healthcare. Founded in 1912, Devereux operates a comprehensive national network of clinical, therapeutic, educational and employment programs that positively impact the lives of 10,000+ children, adults – and their families – every year.    

 

Our Mission: Devereux changes lives – by unlocking and nurtu