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North Spring Behavioral Healthcare
PHP Utilization Review Coordinator
Career Insights for Clinical Coordinator
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Based on Virginia data
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What they do
A Clinical Coordinator coordinates operations and oversees medical assisting staff in a clinic or medical department. Responsibilities include supervision of day-to-day operations, management of business aspects, HR duties within the team.
$69,819 / year median in Virginia
+22% projected growth
Job Description
Responsibilities
- Join Our Team as a Utilization Review Coordinator!
- North Spring Behavioral Healthcare is looking for a fulltime Utilization Review Coordinator (on-site) to join our compassionate and dynamic team!
What We Offer:
Competitive Salary Comprehensive Benefits Package:
Health insurance- Available after just 30 days. Paid Time Off
- Start earning after 90 days. 401(k) with company match
- Eligible after 30 days.
Key Responsibilities:
Performs clinical reviews over the telephone. Reviews that entire chart to evaluate the appropriateness of admission, continued stay, discharge criteria and identifies high-risk cases. Facilitates discharge planning with treatment team and coordinates continuum of care for the patient with Social Worker. Monitors the effectiveness of patient outcomes. Attends treatment team meetings and serves as a liaison and patient advocate between insurance companies and the treatment team. Notifies and alerts Director of Outpatient Services of potential utilization review problems or denials; assists in the preparation and implementation of the appeals process. Monitors documentation in clinical records and reports problematic areas to appropriate supervisor, Director of Outpatient Services. Assists admissions with screening patients on the pre-hospitalization level to ensure admission criteria are met. North Spring Behavioral Healthcare, a subsidiary of Universal Health Services, Inc. (UHS), is a Department of Behavioral Health and Developmental Services (DBHDS- licensed, and Joint Commission approved 87-bed Psychiatric Residential Treatment Facility, and a 40-bed Inpatient Acute Psychiatric Hospital.