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TGH Behavioral Health Hospital

TGH Behavioral Health Hospital, operated jointly between Tampa General Hospital, USF Health and Lifepoint Behavioral Health, seeks passionate, patient-centric, and goal-oriented team members to join our team. We specialize in compassionate behavioral health services, including crisis stabilization, inpatient care, and outpatient treatment for acute mental health and substance use treatment. Our philosophy is built on a psychosocial model of care to decrease suicide rates, decrease addiction-related deaths, reverse the decline in life expectancy, and improve productivity in the communities we serve. We offer a collaborative work environment, competitive compensation, and flexible scheduling so you can focus on what matters-providing quality patient care. Join our team in Tampa, Florida, to build a career that touches lives.

Utilization Review Specialist - Behavioral Health

Tampa, Florida

Req ID 528671 Post Date Dec. 02, 2024 CategoryBehavioral Health FacilityTGH Behavioral Health Hospital
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Description

  • Tampa General Behavioral Health Hospital, part of Lifepoint Behavioral Health, nationally known healthcare organization with diversified delivery network with facilities from coast to coast, seeks passionate, patient-centric, and goal oriented team members to join our team. We specialize in compassionate behavioral health services, including crisis-stabilization, inpatient care, and outpatient treatment for acute mental health and substance use treatment. Our philosophy is built on a psychosocial model of care to decrease suicide rates, decrease addiction-related deaths, reverse the decline in life expectancy, and improve productivity in the communities we serve. We offer a collaborative work environment, competitive compensation, and flexible scheduling so you can focus on what matters - providing quality patient care. Join our team in Tampa, Florida, to build a career that touches lives. 

    Benefits:

    • New competitive pay rates
    • Tuition assistance/reimbursement
    • Expansive benefits package
    • Professional development and advancement opportunities
    • Supportive leadership and culture

What you will do in this role:

  • Displays knowledge of clinical criteria, managed care requirements for inpatient and outpatient authorization and advocates on behalf of the patient to secure coverage for needed services.
  • Completes pre and re-certifications for inpatient and outpatient services.
  • Reports appropriate denial, and authorization information to designated resource.
  • Actively communicates with interdisciplinary team to acquire pertinent information and give updates on authorizations.
  • Participate in treatment teams to ensure staff have knowledge of coverage and to collect information for communication with agencies.

Qualifications

Qualifications:

  • Bachelor’s degree required. Master’s degree preferred.
  • Previous utilization review experience in a psychiatric healthcare facility preferred.
  • Current unencumbered clinical license strongly preferred.
  • CPR certification and Crisis Prevention Training (CPI) preferred.
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