RainierSprings is a 72-bed behavioral hospital located near Vancouver, WA. The hospital offers inpatient and outpatient mental health and addiction treatment to adults, adolescents and their families. At RainierSprings we are dedicated to Changing People's Lives®.
The Utilization Review department plays an essential role in helping fulfill our mission of "Changing People's Lives®". Utilization Review team members advocate on behalf of our patients to managed care providers for necessary treatment. As a Utilization Review Specialist, you will accurately and timely complete utilization review activities.
Members of our team Enjoy:
Working with a highly engaged staff
Healthy staffing levels
A Comprehensive Benefit package is offered to Full and Part time team members
Actively Communicate with interdisciplinary team members to acquire information and give updates on authorizations
Ensure all pre-certifications are completed for inpatient and outpatient services.
Monitor hospital LOS, report appropriately.
Work with Director of Nursing to ensure documentation requirements are met
Interface with managed care organizations, external reviews, and other payers.
Current unencumbered clinical licensure and valid driver's license
CPR and CPI Certification within 30 day of employment
Previous utilization review experience in a psychiatric healthcare facility preferred