FT UTILIZATION REVIEW COORDINATOR

UHS•Jacksonville, FL

8d•$26 - $37

About The Position

This position is responsible for monitoring the treatment activities offered to the patient, interfacing with the treatment team/managed care organizations to ensure quality patient care and collaborating with referring professionals for continuity of care. Complete concurrent reviews for mental health and dual diagnosis patients for both inpatient and outpatient services. Complete appeals and follow up on all appeals until a final decision is determined. Must have effective communication skills with treatment team members, physician’s and co-workers throughout the hospital. River Point Behavioral Health, a subsidiary of UHS, is a beautiful 80-bed adolescent and adult Baker Act receiving facility, which is located in sunny Jacksonville, Florida. Our professional staff provide high quality, individualized care to uniquely fit the intensity and severity of each patient’s needs and offer a continuum of mental health and addiction services in a confidential, caring environment that promote crisis resolution, positive self-awareness, personal growth and problem-solving. River Point is open 24 hours a day, seven days a week.

Requirements

Registered Nurse, LPN or Master’s level Social Worker with experience in Utilization Management, preferred
Good communication (verbal and written) skills are essential
Able to work independently and collegially with all clinical disciplines
Has knowledge of regulatory and reimbursement requirements
Able to monitor and evaluate records for quality and appropriateness of care
Has basic computer skills

Nice To Haves

Registered Nurse
LPN
Master’s level Social Worker with experience in Utilization Management

Responsibilities

monitoring the treatment activities offered to the patient
interfacing with the treatment team/managed care organizations to ensure quality patient care
collaborating with referring professionals for continuity of care
Complete concurrent reviews for mental health and dual diagnosis patients for both inpatient and outpatient services
Complete appeals and follow up on all appeals until a final decision is determined
effective communication skills with treatment team members, physician’s and co-workers throughout the hospital