Intake Social Worker

Benefits

• At Bluestone, we prioritize our employees and their wellbeing. We provide competitive benefit options to our employees and their families, including domestic partners. Our offerings include:
• Starting salary of $60,000.
• Comprehensive health and Rx plans, including a flat rate option.
• Wellness program including free preventative care
• Generous paid time off and holidays
• 50% tuition reduction at Case Western Reserve University for the MSW program
• 403(b) retirement plan with an employer match
• Pet insurance
• Employer paid life insurance and long-term disability
• Employee Assistance Program
• Support for continuing education and credential renewal
• Ancillary benefits including: dental, vision, voluntary life, short term disability, hospital indemnity, accident, critical illness
• Flexible Spending Account for Health and Dependent Care

Bluestone

Bluestone Child & Adolescent Hospital is seeking dynamic healthcare professionals interested in bringing psychiatric care to a new level for children ages 6-17. Working in a brand new, 12 bed state-of-the-art facility, Bluestone staff will have a unique ability to direct patient care, employ best practices, and join a care network that promotes the best long-term outcomes for patients.

Position summary

The Utilization Review (UR) Specialist will independently facilitate clinical reviews, as necessary, on admission and for continued stay care. The UR Specialist will review the medical record to ensure medical necessity of admission as well as ongoing inpatient and outpatient treatment. The UR Specialist will determine the avenues for advocacy on behalf of patients with insurance for utilization of insurance benefits throughout the patient’s treatment. The UR Specialist will also respond to intake inquiries via phone, fax and email.

Responsibilities

• INCLUDE:
• Complete initial, concurrent, and retrospective reviews of patient care in a timely manner to ensure continuous coverage for patients in inpatient treatment.
• Initiate, schedule, and meaningfully participate in peer reviews and expedited appeals between third-party payers and facilities as needed.