Utilization Review Specialist (Full Time) Job at Sheppard Pratt, Towson, MD

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  • Sheppard Pratt
  • Towson, MD

Job Description

General Summary:

  • Responsible for supporting the utilization review system including data analysis, report writing, and program improvement.
  • UR Specialist will develop and maintain a VOD Tracking and Receipt system.
  • UR Specialist will maintain an expert level review of client entitlements and billing authorizations.
  • Also responsible for securing authorizations and tracking entitlements for enrolled clients.

Knowledge, Skills, and Abilities Required :

  • Knowledge of the public mental health system and programs, generally acquired through a bachelor’s degree in Social Work or Psychology or related degree OR (2) years related work experience.
  • Knowledge of computers and spreadsheet software.
  • Experience with Maryland ASO or other utilization review processes.
  • Substantial level of interpersonal skills in order to communicate effectively with outside agencies and internal customers.
  • Good assessment and clinical skills, including a preeminent knowledge of the rehabilitation model.
  • Excellent organization skills.

Benefits:

At Sheppard Pratt, you will work alongside a multi-disciplined team led by a bold vision to change lives. We offer:

  • A commitment to professional development, including a comprehensive tuition reimbursement program to support ongoing education and licensure and/or certification preparation
  • Comprehensive medical, dental and vision benefits for benefit eligible positions
  • 403b retirement match
  • Generous paid-time-off for benefit eligible positions
  • Complimentary Employee Assistance Program (EAP)
  • Generous mileage reimbursement program

Pay for this position is determined on a number of factors, including but not limited to, years and level of related experience.

Job Tags

Full time, Work experience placement,

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