Due to rapid expansion in our service areas, we are offering immediate SIGN-ON BONUSES for nurses, licensed therapists/certified counselors, qualified mental health professionals, community support specialists, dental hygienists and direct care technicians. If you are interested in joining a progressive company whose mission focuses on the wellbeing of our customers and team members, apply today!

Utilization Review Assistant in Windsor, MO at Compass Health Network

Date Posted: 8/4/2022

Job Snapshot

Job Description

Compensation: $15.00/hour

Provide timely and accurate certification procedures to facilitate certification of coverage for inpatient days. Performs concurrent reviews for quality management. 

*This position is Monday-Friday from 8:00 am - 4:00 pm. 

Responsibilities Include: 
• Ensures timely certification procedures with all payer sources
• Arranges and assists with physician-to-physician reviews of denied cases
• Provides current, verbal documentation in treatment team regarding status of payers
• Contacts treatment team members for reports on assigned team patients
• Assists with discharge planning information with insurance companies
• Provides coverage as needed for the UR department
• Assists the UR Director at his/her discretion with other tasks
• Wearing and properly displaying identification badge during work hours

ESSENTIAL FUNCTIONS/CORE COMPETENCIES – COMPANY WIDE
• Regularly attends work except for approved absences
• Attends all training as required
• Maintain professional, “champion” behavior
• Provides quality customer service
• Provides services with a commitment to service excellence
• Works in a way that exhibits a commitment to personal excellence
• Team oriented and values diversity

 

Job Requirements

QUALIFICATION(S): EDUCATION
High School/GED required


QUALIFICATION(S): WORK EXPERIENCE/TRAINING/ADDITIONAL REQUIREMENTS
Must have at least one year of experience in a psychiatric setting if LPN license is not obtained


QUALIFICATION(S): LICENSURE/CERTIFICATION
LPN license valid in Missouri