Mind Above Matter (MAM) is a leading provider of behavioral health services offering the full continuum of outpatient care for adolescents through adulthood. We offer expert treatment and compassionate adolescent/adult – centered care supporting mental health. We provide services at our locations located in Texas, in the Burleson and Keller areas and maintain partnerships with numerous local school districts.
We are currently hiring a Utilization Review Specialist to ensure utilization review activities are completed accurately and timely. This includes the precertification and recertification, peer to peer process, and appeal. The Utilization Review Specialist must have a current clinical license (LCSW, LMSW, LPC, LPC-A).
Job Responsibilities:
- Ensure timely completion of all utilization review procedures.
- Participate in treatment teams to ensure staff knowledge of coverage and to collect information for communication with agencies.
- Ensure pre-certifications are completed.
- Ensure re-certifications are completed and report status.
- Ensure appeals are retros are completed thoroughly and on a timely basis.
- Communicate with physicians to schedule peer to peer reviews.
- Accurately report denials.
- Updates charts in EMR system.
Requirements:
- Masters Degree
- Current clinical license (LPC-Associate, LPC, LMSW, LCSW)
- Previous utilization review experience in a mental health facility.
What we offer:
- Highly competitive wage
- Paid time off
- Clinical support and supervision
- Leadership opportunities
- Dental Insurance
- Health Insurance
Mind Above Matter is dedicated to the professional growth and individual success of each staff member. We constantly strive to create a supportive, collaborative, inclusive workplace where everyone is motivated to come to work. Here you will experience a positive work environment and supportive administrative team.
Job Type: Full - time position
Monday – Friday
Work Location: Keller, TX
Mind Above Matter (MAM) believes that diversity and inclusion among our staff is critical to our mission of changing lives. MAM is committed to recruitment, selection, placement, promotion, and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state, or local laws.
Job Type: Full-time
Benefits:
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
Schedule:
- 8 hour shift
- Day shift
- Monday to Friday
Education:
Experience:
- utilization review: 2 years (Required)
License/Certification:
- license to practice therapy in Texas (Required)
Ability to Relocate:
- Keller, TX 76244: Relocate before starting work (Required)
Work Location: In person