About the role

ARKANSAS CHILDREN'S IS A TOBACCO FREE WORKPLACE. FLU VACCINES ARE REQUIRED. ARKANSAS CHILDREN'S IS AN EQUAL OPPORTUNITY EMPLOYER. ALL QUALIFIED APPLICANTS WILL RECEIVE CONSIDERATION FOR EMPLOYMENT WITHOUT REGARD TO RACE, COLOR, RELIGION, SEX, SEXUAL ORIENTATION, GENDER IDENTITY OR EXPRESSION, NATIONAL ORIGIN, AGE, DISABILITY, PROTECTED VETERAN STATUS OR ANY OTHER CHARACTERISTIC PROTECTED BY FEDERAL, STATE, OR LOCAL LAWS.

This position has been designated as safety sensitive and cannot be filled by a candidate who is a current user of medical marijuana.

CURRENT EMPLOYEES: Please apply via the internal career site by logging into your Workday Account (https://www.myworkday.com/archildrens/)and search the "Find Jobs" report.

Work Shift:

Day Shift

Time Type:

Full time

Department:

CC017217 Children's Specialty Services

Summary:

Arkansas Children's Behavioral Health, FT, M-F, 8a-5p

Additional Information:

The Utilization Manager improves overall quality of clinical documentation to ensure that information in the medical record accurately reflects client's care and progress, and thus utilization of resources. This role works with providers to correctly capture that services being delivered are medically necessary and timely.

RN or LPC Required

Masters Degree Required

3 years in Mental Health/ Hospital Setting

Required Education:

Master's degree in a related field of study.

Recommended Education:

Master's degree in a related field of study., Master's Degree Nursing

Required Work Experience:

Recommended Work Experience:

Required Certifications:

1 of the following certifications is required -

Recommended Certifications:

Licensed Certified Social Worker (LCSW) - Arkansas Professional Board, Licensed Professional Counselor (LPC) - Arkansas Board of Examiners in Counseling, RN License (AR or Compact State) - Arkansas State Board of Nursing (ASBN)

Description

1. Complete concurrent and retrospective medical record reviews to ensure services are appropriate, efficient, and compliant with payer and regulatory guidelines.

2. Process pre-authorizations and requests for services that are medically necessary and adherent to payer rules.

3. Consult with multidisciplinary team members regarding patient diagnosis, medical justification, length of treatment, and case documentation.

4. Represents the clinical and administrative team with payers for any appeals or disagreements related to care plans.

5. Provide training and education about utilization requirements to clinical and supervisory staff.

6. Demonstrate competency on mental health symptomology, treatment options and efficacies, and impact of trauma and mental health on overall well-being.

7. Participate in quality or accreditation audits to ensure program compliance on utilization review regulations.

8. Completes clinical supervision and staffing to clinicians completing their required supervision hours for full licensure, if necessary.

9. Knowledge of regulatory requirements and Arkansas laws governing services to children, adolescent and adults preferred.

10. Other duties as assigned.

Aplyr's read

Arkansas Children's is a leading pediatric healthcare system, attracting professionals dedicated to advancing child health through specialized care and innovative programs.
Synthesized from recent postings & public sources

What's promising

•Arkansas Children's is the only pediatric health system in Arkansas, offering unique opportunities to impact child health statewide.
•The organization provides a diverse range of specialized roles, from clinical to administrative, supporting career growth.
•A commitment to innovative care and specialized programs enhances professional development and patient outcomes.

What to watch

•Limited public information about salary competitiveness compared to other healthcare systems.
•Potential high stress levels due to the critical nature of pediatric care.
•The organization may face challenges in resource allocation across its wide range of services.

Why Arkansas Children's

•Arkansas Children's offers a $10K sign-on bonus for certain roles, reflecting investment in talent acquisition.
•The system's focus on pediatric care creates a specialized work environment distinct from general hospitals.
•Arkansas Children's operates the state's only pediatric Level 1 trauma center, providing unique clinical experiences.

Aplyr’s read is generated by AI from public sources. Was it useful?

About Arkansas Children's

Arkansas Children's

archildrens.org

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Arkansas Children's is a pediatric healthcare system dedicated to improving the health and well-being of children in Arkansas and beyond. It offers a range of services including hospital care, outpatient services, and specialized programs.