UTILIZATION REVIEW SPECIALIST

Job Description:

UTILIZATION REVIEW SPECIALIST

Description

Position Description

The Fresno County Department of Behavioral Health invites applications for the position of Utilization Review Specialist. Incumbents provide professional services including: regulatory interpretation and guidance; review of health records, policies, and facilities to ensure proper utilization of treatment resources; consultation and training of providers across disciplines; and coordination of care ; and performs related work as required.

Fresno County is working together for a quality of life for all. Our mission is to provide excellent public services to our diverse community.

Samples of Duties

Please click here to review the Samples of Duties.

Knowledge, Skills and Abilities

Please click here to review the Knowledge, Skills and Abilities.

Minimum Qualifications

Experience : Two (2) years of full-time, paid, post-licensure work experience providing direct behavioral health care services as a Licensed Clinical Social Worker, Licensed Professional Clinical Counselor, Licensed Marriage and Family Therapist, or Registered Nurse.

Licenses : A v alid State of California license as a Licensed Clinical Social Worker, Licensed Professional Clinical Counselor, Licensed Marriage and Family Therapist, or Registered Nurse.

Possession of a valid Class "C" driver's license, or equivalent.

Notes : Recruitment and/or certification may be limited to candidates with experience and/or licensure related to the specific position vacancy as authorized by the Director of Human Resources.

Must pass initial credentialing and re-credentialing requirements. Must remain compliant at all times with state licensing credentialing requirements while occupying this classification. All providers in this classification are required to have a valid National Provider Identifier (NPI) number prior to their first day of employment and maintain a valid NPI throughout the duration of their tenure in this classification. In addition, all providers in this classification must be registered with the National Plan and Provider Enumeration System (NPPES) under the correct taxonomy.

HOW TO APPLY:
Applications must be submitted online only.An online application can be found at FresnoCountyJobs.c om .

Open the Job Information Flyer and click "Apply" to begin the online application process.

Once the filing deadline has passed, you may check the status of the recruitment at anytime by logging on to: https://www.governmentjobs.com/Applications/Index/fresnoca .

Please Note:

• It is the applicant's responsibility to notify Human Resources of any email address, mailing address, and telephone number changes.
• Notices from Human Resources will be sent via email only.

REQUIRED APPLICATION MATERIALS:

• A complete, accurate Fresno County employment application must be submitted online only and shall include:
  • All education and work experience to demonstrate the applicant meets the minimum qualifications.
  • A valid driver's license number.
  • A valid State of California license as a Licensed Clinical Social Worker, Licensed Professional Clinical Counselor, Licensed Marriage and Family Therapist, or Registered Nurse.
• Supplemental Questionnaire

Please Note:

• Resumes and attachments are not accepted in lieu of a completed employment application.
• Incomplete or inaccurate applications will be disqualified.
• Submissions must be received by the closing date and time of this recruitment. Amendments will not be accepted after the filing deadline.
• Applications submitted via U.S. mail, email, fax, or in person in our office will not be accepted.

SELECTION PROCESS:
Pursuant to Fresno County Personnel Rule 4 - Selection Process, applicants may be required to complete an examination process and successful candidates will be placed on an employment list effective for a minimum of 3 months and certified in final rank order as vacancies occur.

Please Note:

• The eligible list for this recruitment may be extended up to 12 months, and may be used to fill both extra-help and permanently allocated positions.
• Individuals selected for extra-help appointment may be transitioned to a permanently allocated position at a later date as authorized by the Fresno County Personnel Rules.

REASONABLE ACCOMMODATIONS:

Positions in this classification are in Medical Group I - Light Physical Activity (Personnel Rule 8). This group includes positions which require only light physical effort and may include lifting of small, light objects and some bending, stooping, squatting, twisting, and reaching. Considerable walking or standing may be involved.

The County of Fresno is committed to providing reasonable accommodation to applicants as required by the Americans with Disabilities Act (ADA) and the Fair Employment and Housing Act (FEHA). Qualified individuals with disabilities who need a reasonable accommodation during the application, examination, or selection process may contact Human Resources at (559) 600-1830 at least five days prior to the scheduled date or deadline.

Eligible candidates must be able to perform the essential functions of the position with or without reasonable accommodation.

EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER

The County of Fresno is an Equal Employment Opportunity Employer. It is the policy of Fresno County to provide employment opportunity for all qualified persons. All applicants will be considered without regard to race, color, religion, sex, national origin, age, disability, sexual orientation, gender, gender identity, gender expression, marital status, ancestry, medical condition, genetic information, or denial of medical family care leave, or any other non-job-related factor.

Analyst: Lucila Garcia

REGULAR, PERMANENT POSITIONS BENEFITS PACKAGE :

• Health Insurance
• Competitive Retirement Plan
• Twelve (12) Paid Holidays per year
• Disability and Life Insurance
• Annual Leave Plan
• Employee Assistance Program

Optional benefits include:

• Deferred Compensation Plan (County-sponsored tax shelter savings plan).
• Flexible Spending Plans - tax shelter (set aside pre-tax $ to pay for eligible medical, dependent care, and qualified parking and mass transit expenses).
• NobleCredit Union - all County employees can take advantage of low interest rates, no annual fees for checking accounts, direct deposit, online banking and many other services.

EXTRA-HELP POSITIONS :

Extra-help positions are temporary, not entitled to benefits and serve at the will of the department head.

CLICK HERE TO REVIEW ADDITIONAL BENEFITS INFORMATION

Closing Date/Time: Continuous

Salary:

$100,022.00 - $127,660.00 Annually