Utilization Review Assistant | Partial Hospitalization Program

Posted Yesterday
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Doylestown, PA, USA
In-Office
Entry level
Behavioral Health
The Role
Manages insurance authorizations and utilization reviews for Partial Hospitalization Program clients. Reviews clinical documentation for medical necessity, communicates with insurers, tracks approvals and denials, coordinates continued stays and discharge planning, monitors PROMIS outcomes, supports referrals, and maintains accurate EHR records.
Summary Generated by Built In

Join Our Team

Make a meaningful impact behind the scenes of behavioral healthcare. Lenape Valley Foundation is seeking a Utilization Review Assistant to support our growing Partial Hospitalization Program (PHP). This newly created role serves as the bridge between our clinical team and insurance providers, ensuring clients receive timely access to medically necessary treatment while supporting efficient program operations. As a key member of our interdisciplinary team, you will oversee insurance authorizations, utilization review activities, outcome tracking, and care coordination while helping patients access the services they need. The hours for this position are Monday-Friday 8:30 am – 3:30 pm.


What We Offer

  • DailyPay- gives you the flexibility to access your earnings immediately- on your own schedule!
  • Paid training and supervision
  • 403(b) Retirement Plan
  • FULL TIME Benefits Package Includes:
    • Generous PTO Policy
      • 15 PTO Days, 10 Paid Sick Days, 4 Paid Personal Days, 7 Paid Holidays, 5 Paid Conference Days
    • Medical, Dental, and Vision Insurance
      • Credit available for medical opt-out
    • Flexible Spending Account (FSA)
    • Long-Term Disability and Basic Life Insurance
    • Employee Assistance Program (EAP)
    • Continuing Education Assistance Program
    • Access to student loan management and repayment support

 

What You Bring

  • Bachelor’s degree in human services, Psychology, Social Work, Sociology, or related field preferred
  • Strong computer skills: EHR experience preferred
  • Strong verbal and written communication skills
  • Ability to meet the physical demands of the role, with or without accommodation

 

Your Role 

  • Manage insurance authorizations for PHP clients, including initial, concurrent, and continued-stay requests 
  • Serve as the primary contact with insurance companies and utilization management departments 
  • Review clinical information and submit documentation supporting medical necessity 
  • Monitor authorization deadlines, approvals, denials, and requests for additional information 
  • Coordinate with the treatment team on continued stays, discharge planning, and care transitions 
  • Run daily PROMIS assessments and track program outcomes 
  • Assist with referrals to outpatient services and community resources 
  • Maintain accurate documentation and authorization records within the EHR 
  • Help identify opportunities to reduce denials and improve program efficiency 
  • Perform other duties as assigned 

 

About Lenape Valley Foundation

Since 1958, Lenape Valley Foundation (LVF) has been a trusted non-profit provider of essential human services in Bucks and Montgomery Counties. Our mission is to partner with individuals facing mental health, substance use, or developmental challenges as they pursue personal goals and improved quality of life. With over 30 programs and a commitment to evidence-based care, LVF continues to evolve to meet community needs.

Our Commitment To Diversity and Inclusion

LVF is an Equal Opportunity Employer. We are committed to fostering a workplace that respects and celebrates diversity. We welcome applicants of all backgrounds and ensure a discrimination and harassment free environment where everyone is treated with dignity.

 

Skills Required

  • Bachelor's degree in human services, Psychology, Social Work, Sociology, or a related field
  • Strong computer skills
  • EHR experience
  • Strong verbal and written communication skills
  • Ability to meet the physical demands of the role, with or without accommodation
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The Company
HQ: Doylestown, Pennsylvania
344 Employees

What We Do

The mission of Lenape Valley Foundation (LVF) is to partner with members of our community encountering mental health, substance use, intellectual or developmental challenges as they pursue their personal aspirations and an enhanced quality of life. LVF has been providing quality services for 60 years. Our caring and professional staff members are here to help children, adults, and families We provide individualized culturally-sensitive, compassionate care. LVF is a private, not-for-profit provider of crisis, information and referral, treatment, case management, residential, consultation, and psycho-educational services.

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