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Closing Date:

09/30/2024

Type of Position:

Professional Staff - Project/Program Administration

Job Type:

RegularDay Shift (United States of America)No

Institution Name:

University of Arkansas for Medical Sciences

The University of Arkansas for Medical Sciences (UAMS) has a unique combination of education, research, and clinical programs that encourages and supports teamwork and diversity. We champion being a collaborative health care organization, focused on improving patient care and the lives of Arkansans.
 

UAMS offers amazing benefits and perks (available for benefits eligible positions only):

• Health: Medical, Dental and Vision plans available for qualifying staff and family
• Holiday, Vacation and Sick Leave
• Education discount for staff and dependents (undergraduate only)
• Retirement: Up to 10% matched contribution from UAMS
• Basic Life Insurance up to $50,000
• Career Training and Educational Opportunities
• Merchant Discounts
• Concierge prescription delivery on the main campus when using UAMS pharmacy

Below you will find the details for the position including any supplementary documentation and questions you should review before applying for the opening.  To apply for the position, please click the Apply link/button.

The University of Arkansas is an equal opportunity, affirmative action institution. The University does not discriminate in its education programs or activities (including in admission and employment) on the basis of age, race, color, national origin, disability, religion, marital or parental status, protected veteran status, military service, genetic information, or sex (including pregnancy, sexual orientation, and gender identity). Federal law prohibits the University from discriminating on these bases. Questions or concerns about the application of Title IX, which prohibits discrimination on the basis of sex, may be sent to the University's Title IX Coordinator and to the U.S. Department of Education Office for Civil Rights.

Persons must have proof of legal authority to work in the United States on the first day of employment.

All application information is subject to public disclosure under the Arkansas Freedom of Information Act.

At UAMS we value Diversity, Equity and Inclusion.
 

For general application assistance or if you have questions about a job posting, please contact Human Resources at [email protected].

Department:

ICE | BHSL WFC Clinical Team OP

Department's Website:

Summary of Job Duties:

The Utilization Review Specialist works directly under the supervision of the Psychiatric Research Institute (PRI) Walker Family Clinic Program Manager to perform daily utilization management tasks with Medicaid and other insurers for our clinics. The Utilization Review Specialist must have the ability to make decisions related to Medicaid regulations and create Master Treatment Plans and Master Treatment Plan Reviews. They must understand mental health diagnosis and treatment. They will also be responsible for keeping current all pre-authorizations for Medicaid and private insurance current for all providers in the clinics supported. They work closely with other Utilization Review Specialists. They will complete reports related to insurance requirements, and audits related to accreditation requirements. In addition, this position may contact patients via phone calls or letters. This position completes clinical and administrative processes and documentation in compliance with relevant policies and procedures, participates in staff meetings, training, supervision, and continuing education activities as needed to maintain quality and coordination of care. They will maintain the internal waiting list for group and individual psychotherapy.

Qualifications:

Minimum Qualifications:

• Bachelor's Degree in Social Work, Counseling, or related mental health field

• One (1) year of utilization management or administrative experience working in mental health.

Preferred Qualifications:

• Master's Degree in Social Work, Counseling, or related mental health field

• One (1) year Utilization Management mental health experience in an outpatient setting

• Knowledge of mental health, Arkansas Medicaid, and other private insurance requirements

Additional Information:

Responsibilities:

• Completes prior authorizations and other related documentation required for treatment of Medicaid and private insurance clients.

• Develops and maintains files, records, correspondence, and reports.

• Responds to and communicates with patients via phone, in person, or email and escalates questions as appropriate.

• Oversees and complies with policies and procedures, and makes recommendations as appropriate.

• Stays abreast of changes in Medicaid regulations and disseminates requirements to clinical staff.

• Performs other duties as assigned

Salary Information:

Commensurate with education and experience

Required Documents to Apply:

List of three Professional References (name, email, business title), Resume

Special Instructions to Applicants:

Please contact [email protected] for any recruiting related questions.

All application materials must be uploaded to the University of Arkansas System Career Site https://uasys.wd5.myworkdayjobs.com/UASYS  

Please do not send to listed recruitment contact.

Pre-employment Screening Requirements:

Adult Maltreatment, Annual TB Screening, Child Maltreatment, Criminal Background Check, Substance Abuse Testing

This position is subject to pre-employment screening (criminal background, drug testing, and/or education verification). A criminal conviction or arrest pending adjudication alone shall not disqualify an applicant except as provided by law. Any criminal history will be evaluated in relationship to job responsibilities and business necessity.  The information obtained in these reports will be used in a confidential, non-discriminatory manner consistent with state and federal law. 

Constant Physical Activity:

Hearing, Talking

Frequent Physical Activity:

Manipulate items with fingers, including keyboarding, Sitting

Occasional Physical Activity:

Standing, Walking

Benefits Eligible:

Yes