Utilization Review Clerk

Overview

UR Clerk

M-F

8am- 4:pm

Triangle Springs, part of Lifepoint Behavioral Health, nationally known healthcare organization with diversified delivery network with facilities from coast to coast, seeks passionate, patient-centric, and goal-oriented team members to join our team. We specialize in compassionate behavioral health services, including crisis stabilization, inpatient care, and outpatient treatment for acute mental health and substance use treatment. Our philosophy is built on a psychosocial model of care to decrease suicide rates, decrease addiction-related deaths, reverse the decline in life expectancy, and improve productivity in the communities we serve. We offer a collaborative work environment, competitive compensation, and flexible scheduling so you can focus on what matters–providing quality patient care. Join our team in Raleigh, North Carolina, to build a career that touches lives.

Position Details

• Provides clerical support to the UR Manager and UR Team. Enters information and scans documentation into the Medik, patient database system accurately.
• Maintains appropriate stock of paperwork/forms and supplies to support the UR Department.
• Checks on authorization status with the assessment department.
• Assists other units and departments, as needed.
• Sends appropriate documentation to managed care companies in the appropriate timeframe.
• Provides assistance with discharges. Calling in and faxing in discharge clinical information.
• Enters information accurately on the UR spreadsheet.
• Assists in scheduling and following up on peer to peer reviews.
• Assists the UR Manager with all data reporting as directed.
• Ensures all Medicare cert letters are signed by the appropriate provider
• Assists in filing and maintaining the organization and accuracy of the filing system.

Qualifications

Education:

• High school degree or equivalent preferred

Experience:

• Previous experience in a psychiatric health care facility or experience in office support and organization preferred.

License: Valid driver’s license

Additional Requirements: CPR certification and Crisis Prevention Training (CPI) within days. May be required to work flexible hours and overtime.