Utilization Review Specialist – Behavioral Health (Remote)

<p>Employer Industry: Behavioral Healthcare Management<br><br>Why consider this job opportunity:<br>- Starting pay of $50,000 per year, based on experience<br>- Free Teladoc access for employees and eligible dependents<br>- Comprehensive benefits beginning on the first day of the month following the date of hire<br>- Generous matching HSA contribution of up to $1,500 per year<br>- Employee referral bonus program, with the potential to earn up to $4,000<br>- Opportunity to make a tangible difference in the lives of patients and their families<br><br>What to Expect (Job Responsibilities):<br>- Conduct pre-authorizations and concurrent reviews for insurance payors throughout the patient\'s treatment<br>- Collaborate with multidisciplinary treatment teams to gather necessary information for concurrent reviews<br>- Schedule peer-to-peer reviews and coordinate urgent or expedited appeals<br>- Maintain communication with managed care companies and coordinate with finance regarding client service authorizations<br>- Complete detailed daily documentation and follow standard utilization review policies and procedures<br><br>What is Required (Qualifications):<br>- Bachelor’s degree in a health or behavioral health-related field required; graduate degree preferred<br>- Minimum of three years’ experience in a psychiatric or chemical dependency setting<br>- Minimum of three years’ experience in utilization review preferred<br>- State licensure preferred (e.g., Registered Nurse, Licensed Practical Nurse, Licensed Clinical Social Worker, Licensed Mental Health Counselor)<br>- High School diploma or equivalent is acceptable with relevant state licensure<br><br>How to Stand Out (Preferred Qualifications):<br>- Graduate degree in a health or behavioral health-related field<br>- Experience with ASAM criteria and census report management<br>- Strong organizational, multitasking, and time management skills<br>- Proficiency in establishing effective communication with managed care companies<br>- Previous experience in a drug-free workplace environment<br><br>#BehavioralHealthcare #UtilizationReview #HealthcareJobs #PatientCare #MentalHealthSupport</p> #J-18808-Ljbffr

Back to blog
Ads

Common Interview Questions And Answers

1. HOW DO YOU PLAN YOUR DAY?

This is what this question poses: When do you focus and start working seriously? What are the hours you work optimally? Are you a night owl? A morning bird? Remote teams can be made up of people working on different shifts and around the world, so you won't necessarily be stuck in the 9-5 schedule if it's not for you...

2. HOW DO YOU USE THE DIFFERENT COMMUNICATION TOOLS IN DIFFERENT SITUATIONS?

When you're working on a remote team, there's no way to chat in the hallway between meetings or catch up on the latest project during an office carpool. Therefore, virtual communication will be absolutely essential to get your work done...

3. WHAT IS "WORKING REMOTE" REALLY FOR YOU?

Many people want to work remotely because of the flexibility it allows. You can work anywhere and at any time of the day...

4. WHAT DO YOU NEED IN YOUR PHYSICAL WORKSPACE TO SUCCEED IN YOUR WORK?

With this question, companies are looking to see what equipment they may need to provide you with and to verify how aware you are of what remote working could mean for you physically and logistically...

5. HOW DO YOU PROCESS INFORMATION?

Several years ago, I was working in a team to plan a big event. My supervisor made us all work as a team before the big day. One of our activities has been to find out how each of us processes information...

6. HOW DO YOU MANAGE THE CALENDAR AND THE PROGRAM? WHICH APPLICATIONS / SYSTEM DO YOU USE?

Or you may receive even more specific questions, such as: What's on your calendar? Do you plan blocks of time to do certain types of work? Do you have an open calendar that everyone can see?...

7. HOW DO YOU ORGANIZE FILES, LINKS, AND TABS ON YOUR COMPUTER?

Just like your schedule, how you track files and other information is very important. After all, everything is digital!...

8. HOW TO PRIORITIZE WORK?

The day I watched Marie Forleo's film separating the important from the urgent, my life changed. Not all remote jobs start fast, but most of them are...

9. HOW DO YOU PREPARE FOR A MEETING AND PREPARE A MEETING? WHAT DO YOU SEE HAPPENING DURING THE MEETING?

Just as communication is essential when working remotely, so is organization. Because you won't have those opportunities in the elevator or a casual conversation in the lunchroom, you should take advantage of the little time you have in a video or phone conference...

10. HOW DO YOU USE TECHNOLOGY ON A DAILY BASIS, IN YOUR WORK AND FOR YOUR PLEASURE?

This is a great question because it shows your comfort level with technology, which is very important for a remote worker because you will be working with technology over time...