Utilization Review Specialist Job at Gaudenzia in Claymont

Overview:

This position will be a hybrid position (remote option & onsite at our Claymont DE program) after a successful completion of the probationary period.

We need hope-bringers and changemakers because the work we all do matters. If youre passionate about making an impact with your time and being someones light in the darkness, we want you on our team.

Come Join Us to Do Mission-Based, Meaningful Work

Who We Are

Gaudenzia is one of the largest nonprofit providers of treatment to people with substance use and co-occurring disorders in the nation. We operate in Pennsylvania, Delaware, Maryland, and Washington, D.C.

Our caring, compassionate team is on a mission to save thousands of lives each year and bring hope to people devastated by substance use disorder. Together, we help individuals, families, and communities heal and thrive in the face of one of the most devastating public health crises of our time.

As our organization grows and evolves to meet the needs of our clients and communities, were seeking passionate, empathic individuals to help us make an impact. With your help, we can turn the tide on substance use disorder.

Who Were Looking For

A successful Utilization Review Specialist enjoys working with people from diverse backgrounds and doesnt shy away from honest and caring yet sometimes difficult conversations. This position is for you if youre able to treat others with dignity, compassion, and respect, even in lifes most challenging moments.

Responsibilities:

Your responsibilities in this role may include:

1. Treat all clients and staff with dignity and respect.
2. Develop and maintain efficient assessment procedures which quickly link individuals to the appropriate level of treatment.
3. Ensure individuals are referred to appropriate levels of care within Gaudenzia, Inc.s treatment continuum, where appropriate.
4. Ensure accurate, up-to-date intake records, records of referral, and funding source documents are compiled and stored within the electronic health record system within the required timeframes.
5. Develop and maintain efficient assessment procedures and processes and oversee the flow of clients and their related documentation between the assessment/ evaluation unit(s) and treatment programs.
6. Participate in multidisciplinary case management meetings and telephonic referrals for individuals presenting for admission.
7. Demonstrate proficiency with the administration and interpretation of assessment tools and knowledge of the criteria for Gaudenzias programs.
8. Establish and maintain positive relationships with funding, referral, and regulatory agencies.
9. Other duties as assigned by supervisor or designee.

Benefits & Perks:

Gaudenzia is a diverse, inclusive workplace where purpose-driven people thrive. We think our team members are real heroes, and we believe those who devote their lives to making the world a better place deserve competitive salaries, generous health benefits, and unbeatable work-life balance in return.

Benefits & Perks at Gaudenzia include:

• Medical Insurance
• Dental Insurance (At No Cost)
• Short-Term Disability Insurance (At No Cost)
• Life Insurance (At No Cost)
• Accidental Death & Dismemberment Insurance (At No Cost)
• Vision Insurance
• Various Supplemental Benefits (Aflac, Legal, Identity Theft & FSA)
• You generate two banks of time off: Personal and Vacation
  • Paid Time Off (PTO) Accruals at 80 hours minimally during your 1^st year of employment
  • Vacation Accruals at 80 hours minimally during your 1^st year of employment
• 10 Paid Holidays Per Calendar Year
• Paid Bereavement Leave
• Education Assistance Benefit (Tuition Reimbursement)
• Full reimbursement for the cost of professional license/certification renewals
• 403(b) Retirement Plan with an Employer Match Up to 5%
• Employee Assistance Program

Gaudenzia is an equal opportunity employer. We do not practice or permit discrimination based on race, gender, gender identity, gender expression, sexual orientation, age, national origin, religion, creed, disability, or veterans status.

Qualifications:

Qualifications for This Role:

Education/ Training: Must hold a degree from an accredited college or university.

Experience:

• Associates Degree with at least 4 years of experience
• Bachelors Degree with at least 3 years of experience
• Masters Degree with at least 2 years of experience

• Knowledge of the principles, practices, and procedures involved in treatment programs and continuum of care.
• Knowledge of correct record keeping in accordance with regulatory agencies and standards of practice.
• Knowledge of regulatory, licensing, and accreditation standards.
• Knowledge of and ability to work with electronic health record systems.
• Ability to exercise sound judgment in developing, implementing, interpreting and evaluating program policies, procedures and regulations.
• Ability to communicate effectively, both verbally and in writing.
• Ability to work with clients to gain confidence and cooperation.
• Ability to successfully work with others from various cultures and backgrounds.
• Ability to plan and organize work and prepare appropriate, accurate records, and reports.
• Ability to establish and maintain effective working relationships with clients, staff, health care providers, referral entities, outside agencies, institutions and the general public.
• Skilled at using computers, including familiarity and faculty with Microsoft Office programs like Word and Excel.

What Matters to Us? Our Mission & Our Operating Principles

Our Mission
Gaudenzia aspires to connect individuals and families to addiction and mental health treatment so they can attain long-term recovery and achieve a fulfilling life embraced by a broad community of mutual support.

Our Operating Principles:

We, as members of the Gaudenzia Team, are committed to these principles. They guide the way we perform Gaudenzia business, every day.

1. We hold client care as our top priority.
2. We assume good intentions.
3. We are present, we connect, and we communicate with transparency, dignity, and respect.
4. We make data-driven decisions with courage, challenge the status quo, and find innovative ways to grow Gaudenzia and each other.
5. We support each other publicly and privately in all circumstances.
6. We provide and accept constructive, honest, respectful, and timely feedback with an open mind and without personalization.
7. We operate with integrity, focus on outcomes, and have a bias for action.
8. We follow through on agreements and honor commitments prioritized with a sense of urgency someones life may depend on it.

Gaudenzia is proud to be an employer of choice and a treatment provider of choice in the substance use and co-occurring disorders treatment field. We work hard to foster an inclusive, supportive environment where our employees and clients always feel safe and welcome. Come work with us!