Utilization Review Specialist Full-time

Job description

We offer a full of benefits ranging from: Hourly Range: $31-50 Dependent on the candidate's current licensure and experience Pacific Grove Hospital, is a nationally recognized 68 bed acute psychiatric and chemical dependency treatment center offering inpatient & outpatient services for psychiatric illnesses, addictions & co-occurring disorders. Our hospital offers comprehensive training, dynamic leadership, and personalized support so you can achieve your greatest potential. - Competitive Salary - Paid Time Off - Paid Holidays (8 Total) - Medical, Dental, & Vision Insurance - FSA & HSA Plans - Long-Term & Short-Term Disability - Company Paid Life Insurance - Supplemental Life Insurance - Employee Assistance Program - Employee Discount Program - 401(k) Retirement Plan with Company Match Utilization Review Specialist include: ESSENTIAL FUNCTIONS: - Act as liaison between managed care organizations and the facility professional clinical staff. - Conduct reviews, in accordance with certification requirements, of insurance plans or other managed care organizations (MCOs) and coordinate the flow of communication concerning reimbursement requirements. - Monitor patient length of stay and...