Utilization Review Specialist (or UR Nurse)

About Us Join PrairieCare: Transform Lives Through Meaningful Work! Are you ready to embark on a rewarding career in psychiatric healthcare? At PrairieCare, we are passionate about delivering exceptional mental health services to individuals in need. Our comprehensive approach covers the entire spectrum of care, creating a wealth of diverse roles for those who aspire to make a real impact. We believe in nurturing talent and fostering professional growth in a supportive environment. Here, you won't just find a job—you'll discover a fulfilling career path in the mental health field. If you're eager to contribute to a mission-driven organization and help change lives for the better, we invite you to join our dedicated team at PrairieCare. Together, we can make a profound difference in the lives of those we serve. Responsibilities Join Our Dynamic Team as a Utilization Review Specialist. Are you passionate about making a difference in the lives of those with psychiatric illnesses? Do you thrive in a collaborative environment where your expertise can shine? If so, we have the perfect opportunity for you! What You'll Do: As our Behavioral Health Liaison, you will be the vital link between our dedicated clinical treatment team and third‑party payers, ensuring that every patient receives the appropriate treatment they deserve. Secure authorizations: Obtain initial behavioral health authorizations and conduct thorough concurrent reviews to keep our patients on the path to recovery. Collaborative decision‑making: Work closely with the clinical treatment team to assess the need for denial of stay when patients no longer meet acute care criteria, facilitating timely and appropriate actions. Stay informed: Maintain an up‑to‑date understanding of contract requirements for all third‑party payor groups, ensuring compliance and optimal patient care. Track progress: Monitor each patient's treatment journey through inpatient, partial hospitalization, and intensive outpatient programs (IOP), ensuring they receive the best possible support. Promote cultural competence: Bring your knowledge of gender, cultural differences, and age‑appropriate care to the forefront of utilization review, enhancing our approach to diverse patient needs. Qualifications At least two (2) years of work experience in the behavioral health field. Active license or credential in a behavioral health field preferred. Bachelor's or Master's in a behavioral health related specialty preferred. Benefits Medical/Dental/Vision Company‑paid life insurance Paid time off, including sick time Voluntary short‑term and long‑term disability 401(k) with company match Flexible spending accounts Tuition reimbursement Student loan repayment Free parking Free 24/7 fitness center Contact If you have any questions or need assistance with the application process, please feel free to contact Sydney Spencer at View email address on click.appcast.io or by phone at View phone number on click.appcast.io. You may also reach out to our careers and management team at View email address on click.appcast.io . EEO Statement PrairieCare Healthcare is an Equal Opportunity Employer. PrairieCare provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability status, protected veteran status, genetic information, or any other characteristic protected by federal, state, or local laws. PrairieCare is committed to ensuring equal employment opportunity, including providing reasonable accommodations to individuals with disabilities. Applicants with a physical or mental disability who require a reasonable accommodation for any part of the application or hiring process are encouraged to email View email address on click.appcast.io for assistance. #J-18808-Ljbffr