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Per Diem Utilization Review

Company: UHS - North Star Hospital

Location: Anchorage, AK

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Job Description

North Star is Alaska’s premier behavioral health provider that specialized in helping young people with life’s challenges. We recognize that childhood should be a time of joy, fulfillment, growth, and nurturing care. We also recognize that situations happen that are beyond young people’s control or ability to effectively handle. Our programs at North Star work with the family and the community to help facilitate optimal growth and nurturing throughout times of childhood adversity. Our goal is to help young people get on a track that leads to a life of youthfulness â€" the life that child and adolescents deserve.

We are currently searching for Utilization Review Coordinator to join our established team. The UR Coordinator will be responsible for ensuring that financial benefits are maximized in the treatment and discharge planning for assigned cases through initial and continued stay reviews and obtaining prior authorization work for discharge services. They will also serve as an effective liaison between the business offices and treatment team, implementing the discharge plan and active pursuit of appeals.


Job Requirements

This position requires a Master’s degree in Psychology,
Counseling, Social Work, or other related field. Prior experience in
UR is preferred. This candidate should have a strong knowledge of
psychiatric care service delivery systems and third party
reimbursement, as well as an understanding of admission and discharge
function. Familiarity with psychiatric terminology, diagnostic terms
and treatment modalities is preferred as well as a knowledge of
medical record keeping and consults. Strong verbal and written
communication skills and the ability to effectively meet deadlines
are a must.

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