Utilization Review Specialist (Full Time)

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

The pay range for this position is $18.50/hr minimum to $26.04/hr maximum.  Pay for this position is determined on a number of factors, including but not limited to, years and level of related experience.

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