Utilization Review Manager - Home Care jobs in San Antonio, TX

Windmill Wellness opened the Ranch in May of 2017. We are nestled in the Texas Hill Country and are sitting on 76 acres. The mission of Windmill Wellness Ranch Is to improve the physical, spiritual and emotional health of the individual and their family through and integrated healing system using the latest technology and research. Windmill Wellness Ranch is a co-occurring inpatient and outpatient treatment center specializing in trauma therapies, substance use disorders and mental health. WWR has the highest outcomes in the nation, as measured by a third-party scientific firm, Trac9.

WWR has been recognized as one of the top workplaces by the San Antonio Express News.

Qualifications:

• Minimum 1-2 years utilization review experience in substance abuse preferred.

The Utilization Management Specialist will determine if authorization is necessary for the services that are needed and obtain such authorization for behavioral health services on an on-going basis. Conducts utilization reviews to determine if patients are receiving care appropriate to illness or condition. Audits medical record data to ensure compliance and justify treatment or length of stay. Reports and maintains documentation regarding patient continued treatment, stay or care.

Job Type: Full-time

Benefits:

• Dental insurance
• Health insurance
• Paid time off
• Vision insurance

Healthcare setting:

• Rehabilitation center

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

Experience:

• Utilization review: 1 year (Preferred)

Work Location: In person