Utilization Review Specialist

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

• 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

The pay range for this position is $18.50/hr minimum to $26.44/hr maximum. Pay for this position is determined on a number of factors, including but not limited to, years and level of related experience.