What are the responsibilities and job description for the Utilization Review Coordinator Lead (UR) position at Ridgeview Institute Smyrna?
Job Details
Description
JOIN OUR TEAM AS A UTILIZATION REVIEW COORDINATOR LEAD (UR)!
Your Work Matters How will you make a difference?
As a Utilization Review Coordinator Lead (UR Coordinator), you'll advocate for our patients, ensuring they receive the best care possible by liaising with external case managers and managed care organizations to certify and re-certify insurance benefits. You'll be able to help our treatment team understand insurance requirements for continued stay and discharge planning and maintain a thorough understanding of patient treatments through constant communication with the team. You will advocate for patient access to services during treatment team meetings, individual physician contact, and lead treatment team meetings and continued stay reviews as indicated. Your role is critical in guiding patients through their treatment journey and discharge planning, making a real difference every day!
- Review treatment plans and advocate for additional services.
- Promote effective use of resources for patients.
- Maintain contact with physicians and team members.
- Collaborate on continued stay and discharge planning.
- Ensure patients are placed in appropriate care levels.
- Document case management activities and track insurance reviews.
- Provide patient status updates and insurance requirements to staff.
- Manage the insurance appeals process and coordinate discharge plans.
Your Experience Matters What we’re looking for:
- Education: Bachelor's or Master's degree from an accredited college or university in social work, mental health, nursing, or related degree.
- Experience: A minimum of two (2) years of related experience in a healthcare setting or managed care company, with expertise in patient assessment, treatment planning, utilization management, and/or case management preferred.
Your Care Matters What we provide for our team:
- 401(k) matching
- Health insurance
- 100% company-paid life insurance coverage up to 2x your annual salary
- Vision insurance
- Dental insurance
- 100% company-paid long-term disability insurance
- Paid time off
- Paid Holidays
- Cafeteria on site
- Employee engagement events
- Employee assistance program
- Employee recognition program
- Free parking
What sets us apart:
- Career & training development opportunities
- Dynamic and inclusive work environment
- Engaged management team dedicated to your success
- A guiding mission and set of values that serve as both our north star and yours, anchoring our collective purpose and aspirations
Disclaimer: Benefits are subject to change at the discretion of Ridgeview Institute Smyrna.
Compensation:
This is a full-time, non-exempt role; the expected compensation range is $18.00 to $25.00/hour. We’re eager to engage with all qualified candidates, and consideration will be given to experience and skill level. Join us as our Utilization Review Coordinator (UR)!
About RIS
Get to know us Outstanding Care, Compassionate People, Unparalleled Service:
Welcome to Ridgeview Institute Smyrna (RIS), a premier healthcare provider in Smyrna, GA, setting the gold standard for excellence in mental health and addiction treatment support. Located in Smyrna, GA, RIS offers a full continuum of care, including inpatient and outpatient psychiatric services and specialized, evidence-based programs for all patients, regardless of their ability to pay.
At RIS, the community is an integral part of our team, fostering collaboration to build an efficient, comprehensive, and seamless continuum of care. We take pride in offering dynamic, challenging, and highly rewarding positions. You'll have the opportunity to work closely with a team of experts, ensuring our patients receive personalized services that guide them toward achieving their treatment goals.
Join us in providing exceptional care and contributing to the well-being of individuals and families in need, and be a part of the transformative healthcare experience at Ridgeview Institute Smyrna.
To learn more about RIS, visit us at: https://www.ridgeviewinstitute.com
TOGETHER WE CAN MAKE POSITIVE I.M.P.A.C.T.S.
Individuals Maintaining Positive Attitude and Commitment To Service
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At Ridgeview Institute Smyrna, we value a diverse, inclusive workforce and provide equal employment opportunities for all applicants and employees. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, gender identity or expression, age, marital status, veteran status, disability status, pregnancy, parental status, genetic information, political affiliation, or any other status protected by the laws or regulations in the locations where we operate. Accommodations are available for applicants with disabilities.
Salary : $18 - $25
