Utilization Review Assistant in Windsor, MO at Compass Health

Date Posted: 2/5/2018

Job Snapshot

Job Description

Compensation: $14.06

POSITION PURPOSE:                                    
Provide timely and accurate certification procedures to facilitate certification of coverage for inpatient days.                                    
                                    
QUALIFICATIONS:                                    
• Possess a valid Missouri LPN license or have at least one year of experience in a psychiatric setting
• Maintains education credits for applicable certification requirements
• Prefer one year of psychiatric experience
• Has a commitment to service and personal excellence.
• Is team oriented and values diversity.
                                    
                                    
ESSENTIAL FUNCTIONS:                                    
1) Preforms concurrent reviews for quality management.  
2) Ensures timely certification procedures with all payer sources;
3) Arranges and assists with physician-to-physician reviews of denied cases.  
4) Provides concurrent, written documentation for treatment team members regarding status of payers.  
5) Contacts treatment team members for daily progress reports on non-certified days.  
6) Assists with discharge planning efforts.   
7) Provides on-call coverage per the rotation schedule for UR needs.  
8) Provides coverage as needed for the UR department.  
9) Assists the UR Coordinator at his/her discretion with other tasks.                                               10) Other duties as assigned                                    
                                    
Although driving is not an essential function of the position, a valid license and agency established minimum automobile coverage are required in the event the employee drives during the course of employment.

 

Job Requirements

QUALIFICATIONS:                                    
• Possess a valid Missouri LPN license or have at least one year of experience in a psychiatric setting
• Maintains education credits for applicable certification requirements
• Prefer one year of psychiatric experience
• Has a commitment to service and personal excellence.
• Is team oriented and values diversity.