Conducts utilization reviews to determine if patients are receiving care appropriate to illness or condition. Monitors patient charts and records to evaluate care concurrent with the patients treatment. Reviews treatment plans and status of approvals from insurers. Collects and complies data as required and according to applicable policies and regulations. Consults with physicians as needed. May require a bachelor's degree. Typically reports to a supervisor. Typically requires Registered Nurse(RN). Contributes to moderately complex aspects of a project. Work is generally independent and collab ...orative in nature. Typically requires 4 to 7 years of related experience.More Show Less
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Foundations Behavioral Health. is currently hiring a full-time. Utilization Review Coordinator. to support our UM Department in Doylestown, PA. This is a Monday-Friday full-time position offering full-time benefits and competitive pay. The Utilization Management Coordinator is responsible for all utilization management activities for assigned cases from admission through discharge, including peer reviews and appeals, in accordance with the Utiliz...
Job Description. Summary. The responsibilities of the individual in this position include but are not limited to the following : a) Follow up on patient accounts when authorization for stay is required, fax numbers to send clinical reviews. b) Follow up on each account during the stay and on discharge for authorization - document in the electronic system. c) Escalate any potential disputes or denial of accounts to Director of Case Management or d...
Job Description. Summary. The Authorization Coordinator works under direction of Social Worker or Case Manager RN. New authorization coordinator position for West Over Hills Hospital. FT, Days, Office Based. Must have reliable transportation to get to work. Shift start times after completion of orientation are 7 : 00am, 7 : 30am or 8 : 00am. 30minute or 1hr lunch times is the candidates choice. After completion of orientation will be added to the...
Responsibilities. Hampton Behavioral Health Center is a private behavioral healthcare center and offers the most advanced behavioral health, diagnostic treatment services for adults, adolescents, and older adults in both inpatient and outpatient programs. A commitment to excellence in diagnosis, treatment, and education – these concepts are at the core of Hampton Behavioral Health Center’s mission. We are looking for a. Full Time Utilization Revi...
Responsibilities. Foundations Behavioral Health. is currently hiring a full-time. Utilization Review Coordinator. to support our UM Department in Doylestown, PA. This is a Monday-Friday full-time position offering full-time benefits and competitive pay. . The Utilization Management Coordinator is. responsible for all utilization management activities for assigned cases from admission through discharge, including peer reviews and appeals, in acco...
Facility Overview. At Ocean View Psychiatric Health Facility, we are committed to serving as a community resource, providing the highest quality of mental health services. Currently, Ocean View operates as an adult 39-bed voluntary acute in-patient facility, offering private rooms and individualized care through a multi-disciplinary approach focusing on compassionate care and best practices. We also provide Intensive Outpatient and Partial hospit...
Must have 2 years of UR experience to be considered for this position. . The Utilization Review Coordinator is responsible for management of all utilization review and case management activities for the facility’s inpatient, partial hospitalization, and outpatient programs. Conducts concurrent reviews of all medical records to ensure criteria for admission and continued stay are met and documented, and to ensure timely discharge planning. Coord...
Position Title: Utilization Review Coordinator. Department: Administrative. Reports To: Executive / Program Director. Supervises: NA. Entry Level Qualifications. Must have a current LPC, LMFT, LMSW, or LCSW license. Two years minimum experience in utilization review preferred. Must possess good grammatical and communication skills. Must be skilled in Microsoft Office applications and have a working knowledge of off...
Compass Health. is hiring for a Full-Time. Utilization Review Coordinator. at our Home Office in Crowley, LA. The Utilization Review team member coordinates information between third party payors and medical/clinical staff members. The coordinator interacts with all members of the medical/clinical team to provide a medical record which documents and supports level and intensity of service rendered. This position is supervised by the Director of U...
Lighthouse Care Center of Augusta (LCCA). is a multi-discipline behavioral healthcare center that offers mental health services to the communities of surrounding Augusta, Georgia. The Lighthouse Care Center of Augusta is an acute and residential treatment facility providing balanced, top-notch clinical care to children, adolescents and young adults. We provide a carefully-structured and supportive environment, and our education program is accredi...
SUMMARY. The primary responsibility of this position is to implement the organization’s Utilization Review(UR) process to ensure appropriate usage of available resources and to optimize reimbursement for services rendered following patient needs. The UR coordinator monitors the client population daily and regularly checks documentation for compliance with current UR best practices. The Coordinator serves as the primary liaison with payers in matt...
Location: Westerville, Ohio. Compensation: 50,000 - 60,000 Per Year. Shift: Monday - Friday 8:30am - 5:00pm. We’re looking for people who are excited to join our passionate, authentic, and courageous team. We’re uncompromising in the pursuit of excellence: our core values are more than just words on a page - we live and breathe them. To work at Landmark Recovery is to make a promise to help our patients achieve their wildest dreams. Our mission i...
