Utilization Review Coordinator - Behavioral Health Setting

The Utilization Review Coordinator possesses knowledge of psychiatric clinical diagnosis and the ability to articulate those indicators professionally. The UM Coordinator manages medical necessity by evaluating the patient medical records to determine severity of patient's illness and determining the appropriateness of level of care. Serves as liaison for patients and hospital with insurance companies. Negotiates and advocates for patient length of stay and level of care. Oversees utilization review activities with other departments to ensure reimbursement for services provided by the hospital. The UM Coordinator leads physician daily treatment team meetings, manages authorizations and reviews for outpatient programming and at time of admission is responsible for obtaining the precertification. The UM coordinator must be able to work with the business office and admissions departments to complete preliminary verification of benefits. The UM Coordinator has a working knowledge of all levels of care offered and appropriately manages patient benefits.

Benefit & Reward Highlights:

Tuition and Educational Reimbursement Program. Student Loan Repayment Program. Challenging and rewarding work environment Career development opportunities Competitive Compensation & Generous Paid Time Off Excellent Medical, Dental, Vision and Prescription Drug Plans Discounts on pet insurance, automotive insurance & homeowners insurance 401(K) with company match and discounted stock plan

SoFi Student Loan Refinancing Program Requirements:

Masters prepared healthcare professional (Counseling, Psychology, or Social Work) required or RN with direct experience. Valid RN license, LCSW, or LPC preferred. A minimum of 3-5 years direct psychiatric patient care experience. Must possess knowledge of psychiatric care, utilization review, insurance reimbursement procedures, DSM-V, etc. Advanced computer skills necessary. Strong analytical, organizational, verbal and written skills required.

Pay:

$33.33 - $49.99 per hour

Benefits:

401(k) 401(k) matching Dental insurance Employee assistance program Employee discount Flexible spending account Free parking Health insurance Health savings account Life insurance Loan repayment program Paid time off Retirement plan Tuition reimbursement Vision insurance

Work Location:

In person