TITLE:                Utilization Review Specialist

CATEGORY:         Health Information and Records Occupations

Stepworks is a thriving company and trusted addiction treatment provider with facilities throughout Kentucky. We walk with patients during the early steps of recovery and provide resources to support their long-term sobriety. Our mission is to help people hurt by addiction reclaim their dignity and build a better life. Stepworks gives team members continuing opportunities to learn, grow, and inspire in a valued sector of the healthcare industry. Read more of our story at stepworks.com/careers.

POSITION:         Utilization Review Specialist

LOCATION:         Elizabethtown, Kentucky (or remote)

QUALIFICATIONS:

• high school diploma
• experience with behavioral health pre-authorizations
• familiarity with medical terminology
• proficiency with electronic medical records
• excellent computer and online skills
• excellent customer service and telephone communication skills
• excellent people skills: can create good relationships with other team members, patients, and insurance representatives
• organizational skills: ability to multitask, make decisions, work independently, manage time, meet deadlines, and excel in a fast-paced setting
• minimum of one year of utilization review experience

RESPONSIBILITIES AND TRAINING:

• identify the level-of-care for patients based on ASAM criteria
• understand substance abuse treatment (assessments, treatment planning, continuing care recommendations, medication)
• understand the managed-care system (ASAM criteria, behavioral health insurance benefits and pre-authorization, utilization review, peer reviews, discharge reviews)
• provide verbal and written documentation required by insurance providers
• provide the documentation for utilization reviews, discharge reviews, and peer reviews
• prepare, submit, and follow up on appeals
• maintain electronic medical records
• regularly communicate with appropriate Stepworks team members to insure all steps are taken to obtain authorizations

SHIFT:                Monday-Friday, 8:00 A. M. to 5:00 P. M.

BENEFITS:         

• health, dental, and vision insurance
• cancer, short-term disability, hospitalization, and critical illness policies
• 401K with employer matching after one year of employment
• paid time off

APPLICATION:

Please visit stepworks.com/application to complete an application and submit a resume.

If you currently work at Stepworks, please send your resume and the position you are applying for to humanresources@stepworks.com. 

Does the Stepworks mission to help people hurt by addiction reclaim their dignity and build a better life excite you? Does our active, collaborative culture appeal to you? If so, we would love for you to join our team. Apply today.