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["Utilization Management Analyst","Utilization Management Analyst"]

Virginia Department of Human Resource Management

  • Fairfax
  • 2 days ago
  • $70,700 Per Year

Highlights

Demonstrated knowledge of inpatient psychiatric treatment and documentation required, to include interdisciplinary treatment planning, discharge planning, and psychosocial rehabilitation; Ability to communicate effectively, both orally and in writing, with clinicians, administrators, and patients; Knowledge of utilization management principles, third-party reimbursement systems, and associated legal/regulatory requirements; Basic computer proficiency required with typing skills, Microsoft Word, Microsoft Excel, AVATAR, EHR; Ability to produce and present computer-generated reports with narrative and graphic data analysis; Ability to write policies, procedures, and instructional tools; design forms; produce memorandums and meeting minutes; Ability to work independently to include organization, prioritization, and maintaining timeliness of multiple tasks/projects; and Teaching and presentation skills. This will include conducting chart reviews and continued stay reviews in accordance with set intervals, consulting with treatment teams to guide certification decisions, and maintaining communication with internal and external partners to ensure maximum collection of reimbursement for services.

Numbers & Facts

LocationFairfax

Description

Utilization Management Analyst

Title: Utilization Management Analyst

State Role Title: 49171

Hiring Range: up to $70,700/yr.

Pay Band: 4

Agency: Dept Behavioral Health/Develop

Location: Northern VA Mental Health Inst

Agency Website:

Recruitment Type: General Public - G

Job Duties

The Utilization Management Analyst will be responsible for submitting authorization and certification reviews for insured admissions with Managed Care Organization or third-party payers. This will include conducting chart reviews and continued stay reviews in accordance with set intervals, consulting with treatment teams to guide certification decisions, and maintaining communication with internal and external partners to ensure maximum collection of reimbursement for services.

Minimum Qualifications

Demonstrated knowledge of inpatient psychiatric treatment and documentation required, to include interdisciplinary treatment planning, discharge planning, and psychosocial rehabilitation; Ability to communicate effectively, both orally and in writing, with clinicians, administrators, and patients; Knowledge of utilization management principles, third-party reimbursement systems, and associated legal/regulatory requirements; Basic computer proficiency required with typing skills, Microsoft Word, Microsoft Excel, AVATAR, EHR; Ability to produce and present computer-generated reports with narrative and graphic data analysis; Ability to write policies, procedures, and instructional tools; design forms; produce memorandums and meeting minutes; Ability to work independently to include organization, prioritization, and maintaining timeliness of multiple tasks/projects; and Teaching and presentation skills.

Special Instructions

You will be provided a confirmation of receipt when your application and/or résumé is submitted successfully. Please refer to "Your Application" in your account to check the status of your application for this position.

Contact Information

Name: Tina Bielonwu

Phone: (703) 323-2809

Email: tina.bielonwu@dbhds.virginia.gov

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