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
  
  
  

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