Utilization Review Technician conducts utilization reviews to determine if patients are receiving care appropriate to illness or condition. Monitors patient charts and records to evaluate care concurrent with the patients treatment. Being a Utilization Review Technician reviews treatment plans and status of approvals from insurers. Collects and complies data as required and according to applicable policies and regulations. Additionally, Utilization Review Technician consults with nurses and physicians as needed. Position is non-RN. May require an associate degree or its equivalent. Typically reports to a supervisor. May require Registered Health Information Technician (RHIT). The Utilization Review Technician gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. To be a Utilization Review Technician typically requires 2 to 4 years of related experience. (Copyright 2024 Salary.com)
Description
****Average hourly rate is $22.60 (including wage, incentives, bonuses, overtime, shift differential, etc.)****
Utilization Reviewer
Pathway Family Services, LLC. provides resources for youth and families through their Independent Living Program, TRAIL (Teens Reaching Adult Independent Living), Psychiatric Residential Treatment Facility, Qualified Residential Treatment Program (QRTP), outpatient services and specialized foster care services.
Qualifications:
Bachelor's degree in nursing, social work, psychology, or a related field.
A minimum of three years of experience in a similar role within a psychiatric or behavioral health setting, with a focus on adolescent care.
Must be at least 21 years of age based on state requirement of being at least 3 years older than the oldest resident.
Benefits:
The Family Initiative, Inc. is the parent company providing services in Kansas, Nebraska, Oklahoma, and Texas. We provide service to these areas through our affiliates: TFI Family Connections in Oklahoma and Texas Family Initiative in Texas. Pathway Family Services is an affiliate in Kansas offering additional services to youth and families. Mainstream Nonprofit Solutions is an affiliate supporting the TFI Family of Companies and other Nonprofits.
As a Utilization Reviewer, you will be responsible for evaluating the appropriateness and necessity of treatment services provided to adolescent residents. This role will involve collaborating with the clinical team to ensure that treatment plans align with regulatory standards and best practices in the field of children and adolescent psychiatric care.
If you want to make a difference in a child’s life, join our team today!
TFI is an Equal Opportunity Employer.
To apply, please visit www.tfifamily.org/employment
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