Job Description
Daily Responsibilities:
Perform duties to authorize and review utilization of mental health and substance abuse services provided in inpatient and outpatient care settings
Goal is to determine whether or not the treatment is cost effective and necessary
The UM role would be a combo of field based work and working onsite
Territory will be in Tampa and surrounding Suburbs. * No state wide travel
Perform duties to authorize and review utilization of mental health and substance abuse services provided in inpatient, outpatient and intermediate care settings, provide and/or review intakes and initial evaluations, brief focused treatment interventions, monitor quality of care, collect and analyze utilization and cost of care data, assist with discharge planning, arrange transportation; provide member assistance and participate in special utilization projects.
Qualifications
Requirements:
Must be an LPC, LCSW, LMFT, or Psychologist
Minimum of 3 years’ experience in Behavioral Health
Minimum 2 years of UM experience (Concurrent Review/Prior Auth)
Interqual or Milliman preferred
Working knowledge of utilization review procedures, mental health and substance abuse
Familiarity with community resources and network providers
Concurrent Review - Chart Review/Discharge Planning
Prior Authorization - Managed Care Company – Giving approvals, Hospital Setting Requesting approval
Hours for this Position:
Monday – Friday, 8:00am – 5:00pm
Advantages of this Opportunity:
Competitive salary, negotiable based on relevant experience
Benefits offered, Medical, Dental, and Vision
Fun and positive work environment
Additional Information
Want More Information?
• If you are interested in applying to this position, please contact Ashley Greene @ 407-478-0332 ext 169 or email and click the Green "I’m Interested" Button to email your resume.
Company Description
HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!