Systems Analyst Jobs

About The Position

Requirements

• RN or LPC Required
• Masters Degree Required
• 3 years in Mental Health/ Hospital Setting Required
• Master's degree in a related field of study.
• 1 of the following certifications is required - Licensed Certified Social Worker (LCSW) - Arkansas Professional Board, Licensed Professional Counselor (LPC) - Arkansas Board of Examiners in Counseling, RN License (AR or Compact State) - Arkansas State Board of Nursing (ASBN)

Nice To Haves

• Master's degree in a related field of study.
• Licensed Certified Social Worker (LCSW) - Arkansas Professional Board
• Licensed Professional Counselor (LPC) - Arkansas Board of Examiners in Counseling
• RN License (AR or Compact State) - Arkansas State Board of Nursing (ASBN)

Responsibilities

• Complete concurrent and retrospective medical record reviews to ensure services are appropriate, efficient, and compliant with payer and regulatory guidelines.
• Process pre-authorizations and requests for services that are medically necessary and adherent to payer rules.
• Consult with multidisciplinary team members regarding patient diagnosis, medical justification, length of treatment, and case documentation.
• Represents the clinical and administrative team with payers for any appeals or disagreements related to care plans.
• Provide training and education about utilization requirements to clinical and supervisory staff.
• Demonstrate competency on mental health symptomology, treatment options and efficacies, and impact of trauma and mental health on overall well-being.
• Participate in quality or accreditation audits to ensure program compliance on utilization review regulations.
• Completes clinical supervision and staffing to clinicians completing their required supervision hours for full licensure, if necessary.
• Knowledge of regulatory requirements and Arkansas laws governing services to children, adolescent and adults preferred.
• Other duties as assigned.