Utilization Review Specialist
Title:Utilization Review Specialist
Department:Utilization Review

RIDGEVIEW, a not-for-profit community mental health center based in Oak Ridge, TN, has an immediate opening for a full-time Utilization Review Specialist for our inpatient unit.  The schedule will be Monday-Friday, 7:30am-4:00pm.

Ridgeview has been named a 2018 Top Workplace by Knoxville News Sentinel. Ridgeview is a place where staff want to work, a place where staff are valued and appreciated, and a place where staff are proud of the impact they are making toward the improvement of people's lives. At Ridgeview, ultimate job satisfaction is derived from co-workers, clients, and the realization that we are part of carrying out Ridgeview's mission.

"Where life's complexities are met with hope"



This position requires completion of an accredited nursing program and licensure (LPN or RN) in the State of Tennessee plus at least one year experience in an psychiatric setting. Prior experience in utilization review preferred, but not required.



This position is responsible for the review of Ridgeview patient cases to determine appropriateness of admission and continued stay, according to criteria outlined in the Ridgeview Utilization Management Plan. The position is also responsible for maintaining data on inpatient admissions and continued stays for both internal and external reporting. Monthly duties include completion of both Inpatient and Outpatient quality audits.



Ridgeview offers a full line of benefits including: Medical, Dental, Vision, Retirement, Long-Term Disability, Holiday Pay, Vacation and Sick Leave, Life Insurance and Wellness Plan. Ridgeview is an approved National Health Service Corp site. Loan repayment for qualified behavioral health and primary health care providers is available.

Ridgeview is an equal opportunity employer. Ridgeview conducts Background Checks, Motor Vehicle Records, License/Degree Verification, and Drug Screens at hire. Employment is contingent upon clean drug screen, background check and driving record.

This opening is closed and is no longer accepting applications
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