ResponsibilitiesPalm Springs Treatment Center dba Michael's House, The Addictions Division of UHS, Inc. is the premier provider of integrated treatment for co-occurring addiction and mental health concerns, offering residential and outpatient services nationwide. At each facility, we focus on patient-centered care and an individualized approach, upholding a high standard of innovative treatment and compassionate attention to each patient's needs. We are committed to providing evidence-based treatment for individuals with co-occurring disorders through clinical services, education and research. Our purpose is to create lifetime relationships for long-term recovery. Everything we do is designed to support recovery in a comprehensive way, addressing the needs of the whole person-physically, emotionally, mentally and spiritually. We provide the foundation, you build the life.Michael's House is currently seeking a Utilization Review Analyst Responsible for reviewing client insurance benefits and ascertaining level of care (LOC) pre-certifications.The ideal candidate will have the ability to inspire our clients' confidence in both our staff and Michael's House Model of Treatment by exhibiting a high level of both knowledge and compassion. Do you have a passion for working with patients with co-occurring disorders and chemical dependence? Do you want to be part of a team of highly skilled individuals, driven by the desire to help people, through facilitating life-changing recovery? Do you get excited about the chance to make a difference by serving as a Brand Ambassador to Michael's House? If so, then you could be the perfect addition to our team! This position will be located at Michael's House in Palm Springs, California.QualificationsEssential Duties and Responsibilities* Reviews and understands insurance information provided by the Call Center, determines which benefits are available to client, and clarifies discrepancies or confusion.* Completes a thorough review of all clinical documentation. As needed meets with the client upon admission or soon thereafter to complete pre-certification information.* Determines what LOC the client meets and what ASAM (American Society of Addiction Medicine) and/or health plan criteria support that LOC based on client's benefits.* Once a care manager is established, contacts health plan provider and requests most appropriate LOC for client.* Documents in system and in a paper file the request made and authorization approval number/contact information.* Reviews weekly UR update information.* Attends Flash Meetings as Assigned* Performs all other duties as required or assigned.Knowledge, Skills and Abilities* Ability to inspire client confidence in the FRN Staff and the FRN Model of Treatment.* Ability to consistently demonstrate through conduct and communications the stability required to effectively assist patients and their family members through the FRN Model of Treatment.* Excellent verbal and written communication skills required.* Must have high level of interpersonal skills. Position continually requires demonstrated professionalism, tact and diplomacy.* Specific knowledge of substance abuse and or mental health treatment on a clinical level.* Ability to understand insurance benefits and follow insurance protocols within appropriate time frames.* Ability to learn levels of care guidelines and medical necessity criteria.* Must have strong knowledge of a variety of computer software applications in word processing and spreadsheets (MS Word, Excel).* Excellent organizational skills with the ability to prioritize workload and meet deadlines.* Ability to pay continual attention to detail in documenting files.* Understands need for and maintains appropriate confidentiality at all times when interacting with patients, residents, families, visitors, referral sources and all other contacts.* Exhibits excellent customer relation skills as evidenced by supportive and constructive communication with all contacts including coworkers, patients, residents, visitors, families and referral sources.* Must possess a current, valid driver's license.Education and Experience* LVN level in Nursing or Bachelor's degree in psychology, MFT, social work, or related field preferred.* Minimum of 2 years experience working in a substance dual diagnosis facility with client contact.* Minimum of 1 year experience working in a managed care position.* Licensure and CADC certification in addictions preferred.Work Environment and Physical Demands* Ability to be physically mobile; however, long periods of sitting will be required.* Ability to lift up to 20 lbs.* Constant use of computer requiring manual dexterity and visual acuity.* Ability to read, write and analyze detailed and complex information.