Utilization Review Specialist - Behavioral Health

At Lifepoint Behavioral Health, we specialize in compassionate behavioral health services, including crisis stabilization for acute mental health and substance use disorders. Our philosophy is built on a psychosocial model of care and follows the core principles of resilience, recovery and restoration. Our teams are committed to providing superior patient care that exceeds industry standards as well as patient expectations.

Success within a company doesn’t just happen. It requires committed teams of talented people who understand and embrace an organization’s goals and work together at the highest level to achieve them. Join our team of interdisciplinary doctors, nurses, therapists and other experts today!

• Obtains authorizations for services, coordinates peer-to-peer reviews for assigned caseload.
• Understands medical necessity criteria and facilitates accurate and timely documentation to support advocacy of services.
• Follows patients throughout the continuum of care and ensures optimum utilization of resources, service delivery and compliance with external review agencies.
• Coordinate utilization management reviews for all assigned inpatient, partial hospitalization and intensive outpatient program patients.
• Coordinates closely with Director of Utilization Management, Nursing and Clinical Services.

• Independent Practice Scope License in state of practice, LCSW, LMFT, LPC or BSN RN
• Master’s Degree in Social Work, Marriage and Family Therapy or Counseling from an accredited school or BSN, RN
• Minimum one year experience in Inpatient Psychiatric Facility Utilization Management or three years’ experience in an Inpatient Psychiatric setting in Clinical or Nursing Departments