Utilization Review Specialist, Behavioral Health

Jefferson Regional Specialty Hosp White Hall

Utilization Review Specialist, Behavioral Health

On-Site: 1500 W. Holland Avenue White Hall, AR 71602

FT | Shifts Available are 7a-4p or 8a-5p

Your experience matters

At Jefferson Regional Specialty Hosp White Hall, we are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others. Here, you're not just valued as an employee, but as a person. As a Utilization Review Specialist joining our team, you're embracing a vital mission dedicated to making communities healthier. Join us on this meaningful journey where your skills, compassion, and dedication will make a remarkable difference in the lives of those we serve.

How you'll contribute

The Utilization Review Specialist conducts clinical reviews for all patient admissions and continued stays, evaluating medical records to determine the necessity of treatment and appropriate length of stay. They serve as a liaison with managed care organizations, external reviewers, and other payers to secure coverage and advocate for patients with substance use disorders, dual diagnoses, and psychiatric or emotional conditions. Throughout the patient's stay, the specialist maintains contact with external case managers to certify insurance benefits and supports the treatment team by clarifying payer requirements for continued care and discharge planning.

• Demonstrates expertise in clinical criteria and managed care requirements to secure inpatient and outpatient service authorizations, including pre-certifications, re-certifications, and appeals.

• Collaborates with interdisciplinary teams, treatment staff, and physicians to gather and share authorization updates, schedule peer reviews, and ensure documentation standards are met.

• Interfaces with managed care organizations and payers, accurately reports denials, and communicates authorization outcomes to designated resources.

Qualifications and requirements

• Education: Bachelor's degree in healthcare related field with an emphasis on behavioral health required. Master's degree preferred.
• Experience: Previous utilization review experience in a psychiatric healthcare facility preferred.
• License: Current unencumbered clinical license in LPC, LCSW, LMFT, LPN or RN; required.
• Additional Requirements: CPR certification and Crisis Prevention Training (CPI) preferred. May be required to work flexible hours and overtime

Why join us

We believe that investing in our employees is the first step to providing excellent patient care. In addition to your base compensation, this position also offers:

• Comprehensive Benefits: Multiple levels of medical, dental and vision coverage for full-time and part-time employees.

• Financial Protection & PTO: Life, accident, critical illness, hospital indemnity insurance, short- and long-term disability, paid family leave and paid time off.

• Financial & Career Growth: Higher education and certification tuition assistance, loan assistance and 401(k) retirement package and company match.

• Employee Well-being: Mental, physical, and financial wellness programs (free gym memberships, virtual care appointments, mental health services and discount programs).

• Professional Development: Ongoing learning and career advancement opportunities.

About us

Jefferson Regional Specialty Hosp White Hall is located in White Hall, AR, and is part of Lifepoint Health, a diversified healthcare delivery network committed to making communities healthier® with acute care, rehabilitation, and behavioral health facilities from coast to coast. From your first day to your next career milestone-your experience matters.

EEOC Statement

"Jefferson Regional Specialty Hosp White Hall is an Equal Opportunity Employer. Jefferson Regional Specialty Hosp White Hallis committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment."

Lifepoint Health is a leader in community-based care and driven by a mission of Making Communities Healthier. Our diversified healthcare delivery network spans 29 states and includes 63 community hospital campuses, 32 rehabilitation and behavioral health hospitals, and more than 170 additional sites of care across the healthcare continuum, such as acute rehabilitation units, outpatient centers and post-acute care facilities. We believe that success is achieved through talented people. We want to create places where employees want to work, with opportunities to pursue meaningful and satisfying careers that truly make a difference in communities across the country.