Job Description:

Job Posting Title

Utilization Review Specialist

Agency

452 MENTAL HEALTH AND SUBSTANCE ABUSE SERV.

Supervisory Organization

Tulsa Center Behavioral Health

Job Posting End Date (Continuous if Blank)

Note: Applications will be accepted until 11:59 PM on the day prior to the posting end date above.

Estimated Appointment End Date (Continuous if Blank)

Full/Part-Time

Full time

Job Type

Regular

Compensation

$17.45/hr.

Job Description

About us: Tulsa Center for Behavioral Health (TCBH) is accredited by the Joint Commission on Accreditation of Health Care Organizations and provides a supportive, safe and welcoming environment in which an array of integrated therapeutic interventions promotes an improved quality of life for consumers and the community. TCBH serves individuals eighteen years of age or older who present in a mental health crisis with or without substance abuse and are determined medically stable.

About the Position: Under general direction of the Director of Operations, the Utilization Review (UR) Specialist helps to manage the facility’s utilization management processes.  This includes:  preparing of documentation necessary for the pre-certification of admissions and extensions of hospital stays for all patients; serving as liaison with gatekeepers, HMO’s, OHCA, and insurance companies; and maintaining spreadsheets and logs daily.  Elements to be included in data collection and analysis are; auditing of required medical record entries; inappropriate admissions; delays in services; delays in discharges; premature discharges; effectiveness of discharge planning; and over utilization and under utilization of resources.  When appropriate, will assist with coordination of transfers. This position will also contribute to the quality improvement process as well as compliance with JCAHO, Title XIX and other regulatory standards.  Will work closely with the Director of Operations and the medical, clinical and reimbursement staff to reduce the potential loss of collections.

The UR Specialist will participate in interdisciplinary treatment teams, clinical management meetings, agency meetings, and other duties as assigned. This position is not remote and does require patient interaction.

Job Type/Salary:

• Open 09/27/2022 until filled


• Full-time: Monday-Friday 8a-4:30p – Overtime may be required


• Annual Salary is $36,291.00


• FLSA Status: Non-Exempt


• 1 Vacancy (2219)

Minimum Qualifications and Experience:

Completion of a Bachelor’s Degree in social work, psychology, or related field from an accredited college or university OR equivalent combination of education and experience

Additional Factors for Consideration: Preference for Familiarity with hospital Utilization Review processes and the AVATAR Electronic Medical Record.  Must have knowledge of basic computer software and be proficient in Office 365.

Benefit Highlights:

ODMHSAS is proud to provide a comprehensive benefits package designed to support our employees and their dependents.   Our benefits include:

• Generous state paid benefit allowance to help cover insurance premiums


• A wide choice of health insurance plans with no pre-existing condition exclusions or limitations


• Flexible spending accounts for health care expenses or dependent care


• Employee assistance programs and health and fitness programs


• 11 paid holidays


• 15 days of vacation and 15 days of sick leave the first year


• Retirement Savings Plan with a generous match


• Longevity Bonus for years of service


• Student Loan repayment options


• Training opportunities for CEU requirements

Drug and Alcohol Pre-employment and Pre-placement Testing:  Upon a conditional offer of employment, applicants for safety sensitive positions shall be required to submit to urinalysis to test for drugs. Appointment to a safety sensitive position shall be contingent upon a negative drug test result.

THIS AGENCY REQUIRES COVERAGE 24 HOURS, 7 DAYS PER WEEK. WORK HOURS AND LOCATION MAY VARY DEPENDING ON BUSINESS NECESSITY. EMPLOYEES MAY BE REQUIRED TO WORK WEEKENDS AND OVERTIME.

Reasonable accommodation to individuals with disabilities may be provided upon request.

An Equal Opportunity Employer.

Equal Opportunity Employment

The State of Oklahoma is an equal opportunity employer and does not discriminate on the basis of genetic information, race, religion, color, sex, age, national origin, or disability.

Current State of Oklahoma employees must apply for open positions through their Workday account. Go to Careers app on WD home screen>Click on 'Find Jobs-Internal State of Oklahoma'.

Apply Now