Pacific Grove Hospital in Riverside, CA, is a leader in behavioral healthcare, providing superior healthcare treatment to the people, communities, and military installations we serve. We are a private inpatient 68 bed acute psychiatric facility with out-patient services, dedicated to the treatment of behavioral health and substance abuse services. Come join TEAM PGH as a UR Specialist! Flexible scheduling Competitive Pay Employee Assistance Program (EAP) Hourly pay range: $31-50 DOE and licensure held. Purpose Statement Proactively monitor utilization of services for patients to optimize reimbursement for the facility. Essential Functions Act as liaison between managed care organizations and the facility professional clinical staff. Conduct reviews, in accordance with certification requirements, of insurance plans or other managed care organizations (MCOs) and coordinate the flow of communication concerning reimbursement requirements. Monitor patient length of stay and extensions a...