UR-Intake Specialist (Remote)

Utilization Review Support Specialist

Role Summary

The UR Support Specialist is a key part of the Narus Utilization Review team based in Nashville, Tennessee. The UR Support Specialist, as a part of the multidisciplinary care team, is responsible for

supporting the Utilization Review nurses as they review and authorize medical treatment for patients.

Daily role responsibilities :

The remote UR Specialist supports the multidisciplinary care team by ensuring seamless delivery of the Narus program for individuals and their families by providing the following services :

• Providing an excellent member experience through direct communication through inbound and outbound calls and secure messages.
• Screen incoming calls with registered nurse supervision.
• Perform appropriate screening and escalation of calls to the clinical team.
• Calls external facilities and providers as directed by UR supervisor
• Takes inbound calls to coordinate patient authorizations
• Assists work from home-based team with faxing, documentation, and telephonic or virtual support of care management priorities.
• Participate in monthly team meetings.

This position could be a good fit if you have :

• A minimum of three (3) years of related experience or equivalent, preferably in a physician office or clinical call center.
• High school diploma required.
• Patient, compassionate, and professional personality with a strong service orientation.
• Demonstrated problem solving skills
• Proficient on Microsoft Office programs, EMR / Care Management platforms, and keyboarding.
• Demonstrated knowledge of legal and ethical issues related to confidentiality, including HIPAA and state specific privacy laws.
• Commitment to excellence and high standards.
• Excellent time management, flexibility, and organizational skills with the ability to work independently.
• Critical thinking and good judgement to quickly determine and prioritize issues
• Good communication, teamwork, and interpersonal skills with the ability to work with all levels of management.
• Prior telephonic patient engagement or care coordination experience preferred.

Other Duties

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job.

Duties, responsibilities, and activities may change at any time with or without notice.

Physical and Emotional Demands :

While performing the duties of this job, the employee is frequently required to sit for extended periods of time. The employee is regularly required to stand, walk, use hands to finger, handle, or feel;

reach with hands and arms; climb or balance; stoop, kneel, crouch, crawl; and talk or hear. Specific vision abilities required by this job include close vision, distance vision, and ability to adjust focus.

The employee will be required to :

• Coordinate multiple tasks simultaneously
• Understand and respond to a diverse population
• Perform some repetitive motion activities
• Required to communicate vocally and hear using a standard telephone device
• Required to communicate electronically
• Required to reach with hands and arms
• Requires minimal weight to be lifted (not more than 10 pounds) or force exerted on a regular basis.
• Requires additional weight to be lifted upon issuance and / or removal of computer equipment (up to 40 pounds)

Equal Employment Opportunity Policy Statement

Lucent Health Solutions, Inc. is an Equal Opportunity Employer.