Utah Licensed Utilization Review Specialist

Job Summary

A company is looking for an Inpatient Utilization Review Specialist.

Key Responsibilities

• Apply medical necessity criteria and identify appropriate levels of care
• Collaborate with clinical staff to obtain documentation and submit authorization requests
• Monitor trends related to denials and assist with drafting appeal letters

Required Qualifications

• Prior utilization review or case management experience in behavioral health
• Strong knowledge of behavioral health medical necessity criteria
• Able to pass background criminal investigation checks
• Eligible to work in the USA
• Proficient in basic computer programs