Utilization Review Specialist I

Oklahoma Department of Mental Health and Substance Abuse Services•Tulsa, OK

6d•$17•Onsite

About The Position

Under general direction, this position reviews clinical documentation to screen for appropriateness of admission, continued stay criteria, and special studies regarding the delivery of care, treatment, and services. It also coordinates the authorization and re-certification of services by external entities reimbursing the facility for care provided.

Requirements

Bachelor's degree or four years of technical clerical, administrative, secretarial, or general office work; or an equivalent combination of education and experience.
Must be able to pass an OSBI background check.
Must be willing and able to fulfill any job-related travel normally associated with this position.
Must have a valid driver's license.

Nice To Haves

Experience in social work, psychology, or a psychiatric setting.

Responsibilities

Review clinical documentation to screen for appropriateness of admission.
Review clinical documentation to screen for continued stay criteria.
Review clinical documentation for special studies regarding delivery of care, treatment, and services.
Coordinate the authorization of services by external entities.
Coordinate the re-certification of services by external entities.

Benefits

Generous state paid benefit allowance to help cover insurance premiums.
A wide choice of health insurance plans with no pre-existing condition exclusions or limitations.
Flexible spending accounts for health care expenses or dependent care.
Employee assistance programs.
Health and fitness programs.
11 paid holidays.
15 days of vacation and 15 days of sick leave the first year.
Retirement Savings Plan with a generous match.
Longevity Bonus for years of service.
Student Loan repayment options.
Training opportunities for CEU requirements.