Prairie St. John's, a 110-bed psychiatric care facility located in Fargo, North Dakota, has been providing services for children, adolescents and adults to address mental health and substance use challenges since 1997.Â Prairie offers a full-service psychiatric and addiction Continuum of Care.Â This Continuum of Care includes inpatient hospitalization, partial hospitalization, residential treatment, intensive outpatient services and clinic services. Prairie St. John's currently hasÂ a PRN or As-Needed Utilization Review Specialist position available.Â The candidates selected will be responsible for the following:
Reviews clinical data on assigned patients and attends treatment team meetings to develop an understanding of each patient.
Investigates the payer guidelines and the requirements necessary to justify a particular level of care and benefit limitations for each patient.
Communicates this information with the treatment team and educates on what, if any, documentation is necessary.
The individual in this position will fill in for vacations and leaves of absence.