The Utilization Specialist monitors patient service utilization to optimize facility reimbursement and acts as a liaison between managed care organizations and clinical staff. Key duties include conducting medical necessity reviews, managing the appeal process for denied stays, and providing staff training on documentation requirements.
Join our team at TrustPoint Hospital as a Full Time Utilization Specialist!
We are seeking passionate professionals that are dedicated to behavioral health.
If you are looking for unparalleled growth opportunities and are wanting to make a meaningful impact in your community, this is the position for you!
Hours: Mon-Fri 8am-5pm TrustPoint Hospital is a 217-bed, state-of-the-art treatment center providing comprehensive medical and psychiatric services on both inpatient and outpatient bases.
We deliver exceptional care to patients needing acute physical medicine and rehabilitation, adult, adolescent, geriatric psychiatry, and medical psychiatry.
TrustPoint Hospital offers an extensive array of benefits to our valued team members.
Current offerings encompass: Medical, Dental, and Vision Insurance coverage Health Savings Account (HSA) and Flexible Spending Account (FSA) options Company-paid Basic Life & AD&D insurance Disability benefits 401(k) Retirement Plan with a company match Employee Assistance Program (EAP) and Employee Discount Program Paid Holidays for work-life balance Paid Time Off (PTO) Tuition Reimbursement opportunities for career advancement PURPOSE STATEMENT: Proactively monitor utilization of services for patients to optimize reimbursement for the facility.
Market context
Behavioral-health roles in Tennessee are often tied to schools, community programs, and outpatient settings serving children and adolescents, so employers usually look for candidates with direct youth mental-health experience. This type of role can be competitive because the posting asks for a specific degree-and-experience mix, plus prior work with children and adolescents; the listed requirements and benefits are AI-summarized from the original job description to save you research time. Before applying, match your resume to the exact experience path and highlight any youth-focused interventions, crisis support, or family engagement work.
