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Utilization Review Specialist

Lifepoint Health
Posted 2 months ago, valid for 15 days
Location

Lynchburg, VA 24505, US

Salary

$24,000 - $28,800 per year

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Contract type

Full Time

Paid Time Off
Life Insurance
Tuition Reimbursement
Wellness Program

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Sonic Summary

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  • Centra Behavioral Health Hospital is seeking a Utilization Review Specialist for a full-time position at their new 72-bed facility opening in 2026.
  • Candidates should have a Bachelor's degree, with a Master's degree preferred, and previous utilization review experience in a psychiatric healthcare facility is strongly desired.
  • The role involves managing inpatient and outpatient authorizations, ensuring compliance with clinical criteria, and actively collaborating with the interdisciplinary team.
  • The position offers comprehensive benefits, including medical, dental, and vision coverage, along with financial protection, career growth opportunities, and employee well-being programs.
  • The salary for this role is competitive, and applicants are expected to have a minimum of 1-2 years of relevant experience.

Schedule: Full Time, Days

 

Your experience matters

 

Centra Behavioral Health Hospital is part of Lifepoint Health, a diversified healthcare delivery network with facilities coast to coast. We are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others. By joining our team, you’re embracing a vital mission dedicated to making communities healthier ®. Join us on this meaningful journey where your skills, compassion and dedication will make a remarkable difference in the lives of those we serve.

Come join us in our journey of opening a brand-new hospital!

More about our team

Centra Behavioral Health Hospital is a brand-new 72 bed behavioral health facility opening in 2026. We offer high-quality, compassionate care for a wide variety of patients in need. Our teams provide evidence-based, transformational care for a broad range of mental health concerns in a compassionate, comfortable environment.

 

How you'll contribute 

 

A Utilization Review Specialist who excels in this role:

  • Displays knowledge of clinical criteria, managed care requirements for inpatient and outpatient authorization and advocates on behalf of the patient to secure coverage for needed services.

  • Completes pre and re-certifications for inpatient and outpatient services. Reports appropriate denial, and authorization information to designated resource.

  • Actively communicates with interdisciplinary team to acquire pertinent information and give updates on authorizations.

  • Participate in treatment teams to ensure staff have knowledge of coverage and to collect information for communication with agencies.

  • Works with DON to ensure documentation requirements are met.

  • Ensure appeals are completed thoroughly and on a timely basis.

  • Interface with managed care organizations, external reviews, and other payers.

  • Communicate with physicians to schedule peer to peer reviews.

  • Accurately report denials.

     

Why join us 

We believe that investing in our employees is the first step to providing excellent patient care. In addition to your base compensation, this position also offers: 

  • Comprehensive Benefits: Multiple levels of medical, dental and vision coverage for full-time and part-time employees.
  • Financial Protection & PTO: Life, accident, critical illness, hospital indemnity insurance, short- and long-term disability, paid family leave and paid time off.
  • Financial & Career Growth: Higher education and certification tuition assistance, loan assistance and 401(k) retirement package and company match.
  • Employee Well-being: Mental, physical, and financial wellness programs (free gym memberships, virtual care appointments, mental health services and discount programs).
  • Professional Development: Ongoing learning and career advancement opportunities.
  • Brand new facility: Brand new hospital, built from the ground up, with cutting edge equipment and technology!

 

What we're looking for

 

Applicants should possess the following qualifications and skills:

  • Education: Bachelor’s degree required. Master’s degree preferred

  • Experience: Previous utilization review experience in a psychiatric healthcare facility preferred.

  • License: Current unencumbered clinical license strongly preferred.

  • Additional Requirements: CPR certification and Crisis Prevention Training (CPI) preferred. May be required to work flexible hours and overtime.

 

About Us 


Centra Behavioral Health Hospital is a 72-bed behavioral health hospital committed to offering exceptional care to the Lynchburg community. We are part of Lifepoint Health, a diversified healthcare delivery network committed to making communities healthier® with acute care, rehabilitation, and behavioral health facilities from coast to coast. 

EEOC Statement

Centra Behavioral Health Hospital is an Equal Opportunity Employer. Centra Behavioral Health Hospital is committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment.


Lifepoint Health is a leader in community-based care and driven by a mission of Making Communities Healthier. Our diversified healthcare delivery network spans 29 states and includes 63 community hospital campuses, 32 rehabilitation and behavioral health hospitals, and more than 170 additional sites of care across the healthcare continuum, such as acute rehabilitation units, outpatient centers and post-acute care facilities. We believe that success is achieved through talented people. We want to create places where employees want to work, with opportunities to pursue meaningful and satisfying careers that truly make a difference in communities across the country.
We employ and provide care to people from all walks of life. We are committed to promoting healing, providing hope, preserving dignity and producing value with an inclusive workforce in which diversity is leveraged, respected, and reflective of the patients, family members, customers and team members we serve.



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