Utilization Review Assistant in Windsor, MO at Compass Health

Date Posted: 9/13/2018

Job Snapshot

Job Description

Compensation: 14.34

DEPARTMENT: Administration Support

REPORTS TO: Director of Utilization Review Services

POSITION PURPOSE

Provide timely and accurate certification procedures to facilitate certification of coverage for inpatient days.

ESSENTIAL FUNCTIONS – JOB SPECIFIC

• Performs concurrent reviews for quality management
• 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
• Other duties as assigned

ESSENTIAL FUNCTIONS – 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

EDUCATION

High School/GED required

WORK EXPERIENCE

Must have at least one year of experience in a psychiatric setting if LPN license is not obtained

LICENSURE/CERTIFICATION

LPN license valid in Missouri