Utilization Review Specialist – Behavioral Health (Remote)

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<p>Employer Industry: Behavioral Healthcare Management<br><br>Why consider this job opportunity:<br>- Starting pay of $50,000 per year, based on experience<br>- Free Teladoc access for employees and eligible dependents<br>- Comprehensive benefits beginning on the first day of the month following the date of hire<br>- Generous matching HSA contribution of up to $1,500 per year<br>- Employee referral bonus program, with the potential to earn up to $4,000<br>- Opportunity to make a tangible difference in the lives of patients and their families<br><br>What to Expect (Job Responsibilities):<br>- Conduct pre-authorizations and concurrent reviews for insurance payors throughout the patient\'s treatment<br>- Collaborate with multidisciplinary treatment teams to gather necessary information for concurrent reviews<br>- Schedule peer-to-peer reviews and coordinate urgent or expedited appeals<br>- Maintain communication with managed care companies and coordinate with finance regarding client service authorizations<br>- Complete detailed daily documentation and follow standard utilization review policies and procedures<br><br>What is Required (Qualifications):<br>- Bachelor’s degree in a health or behavioral health-related field required; graduate degree preferred<br>- Minimum of three years’ experience in a psychiatric or chemical dependency setting<br>- Minimum of three years’ experience in utilization review preferred<br>- State licensure preferred (e.g., Registered Nurse, Licensed Practical Nurse, Licensed Clinical Social Worker, Licensed Mental Health Counselor)<br>- High School diploma or equivalent is acceptable with relevant state licensure<br><br>How to Stand Out (Preferred Qualifications):<br>- Graduate degree in a health or behavioral health-related field<br>- Experience with ASAM criteria and census report management<br>- Strong organizational, multitasking, and time management skills<br>- Proficiency in establishing effective communication with managed care companies<br>- Previous experience in a drug-free workplace environment<br><br>#BehavioralHealthcare #UtilizationReview #HealthcareJobs #PatientCare #MentalHealthSupport</p> #J-18808-Ljbffr Salary: USD 36000 - 60000 per year Experience: 3 years required

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About United Kingdom

The United Kingdom is an island nation located on the northwest coast of Europe. The United Kingdom includes the entire island of Great Britain, which includes England, Wales, and Scotland, as well as the northern part of the island of Ireland. The name Great Britain is sometimes used to refer to the United Kingdom as a whole. The capital is London, which is one of the business, financial, and cultural centers of the world. Other major cities are Birmingham, Liverpool, and Manchester in England, Belfast and Londonderry in Northern Ireland, Edinburgh and Glasgow in Scotland, and Swansea and Cardiff in Wales.

Common Interview Questions

  • Tell me about yourself.
  • Walk me through your resume.
  • How did you hear about this position?
  • Why do you want to work at this company?
  • Why do you want this job?
  • Why should we hire you?
  • What can you bring to the company?
  • What are your greatest strengths?
  • What do you consider to be your weaknesses?
  • What is your greatest professional achievement?
  • Tell me about a challenge or conflict you’ve faced at work, and how you dealt with it.
  • Tell me about a time you demonstrated leadership skills.
  • What’s a time you disagreed with a decision that was made at work?
  • Tell me about a time you made a mistake.
  • Tell me about a time you failed.
  • Why are you leaving your current job?
  • Why were you fired?
  • Why was there a gap in your employment?
  • Can you explain why you changed career paths?
  • What’s your current salary?
  • What do you like least about your job?
  • What are you looking for in a new position?
  • What type of work environment do you prefer?
  • What’s your work style?
  • What’s your management style?
  • How would your boss and coworkers describe you?
  • How do you deal with pressure or stressful situations?
  • What do you like to do outside of work?
  • Are you planning on having children?
  • How do you stay organized?
  • How do you prioritize your work?
  • What are you passionate about?
  • What motivates you?
  • What are your pet peeves?
  • How do you like to be managed?
  • Do you consider yourself successful?
  • Where do you see yourself in five years?
  • How do you plan to achieve your career goals?
  • What are your career aspirations?
  • What’s your dream job?
  • What other companies are you interviewing with?
  • What makes you unique?
  • What should I know that’s not on your resume?
  • What would your first few months look like in this role?
  • What are your salary expectations?
  • What do you think we could do better or differently?
  • When can you start?
  • Are you willing to relocate?
  • How many tennis balls can you fit into a limousine?
  • If you were an animal, which one would you want to be?
  • Sell me this pen.
  • Is there anything else you’d like us to know?
  • Do you have any questions for us?

Educational Qualification

Candidates Who Have Passed Graduate or its Equivalent from a Recognized Board or University Are Eligible For this recruitment. Kindly check the Official Notification for more qualification details. Notification Link Is Given Below.

Document Required

Required Documents for This recruitment: Candidate should have these documents before applying online. Candidates are suggested to read the official notification before applying.

  • Qualification certificate with mark sheets.
  • Passport size photographs.
  • Signature.

How to Apply

All the eligible candidates can apply for this job as mentioned below:

  • Read official notification carefully from the official website.
  • Read notification carefully before applying.
  • Fill the application form (link is given below).
  • Attach required documents and passport size photo with signature.
  • Then submit. Done.