UR Coordinator
About The Position
Join Aurora Behavioral Health System and become a part of the state's most extensive free-standing behavioral health system. Our Level 1, acute care hospital located in Tempe, Arizona, is licensed to treat adults and adolescents for a wide range of psychiatric conditions and chemical dependency. Our team is dedicated to the wellness of individuals, their families, and the community through prevention, intervention, and treatment. DESCRIPTION: We are currently seeking an experienced UR Coordinator. The UR Coordinator will monitor adherence to the hospital's utilization review plan to ensure the effective and efficient use of hospital services and optimize reimbursement. This position will monitor the appropriateness of hospital admissions and extended hospital stays. The UM Coordinator will improve patient outcomes and close care gaps by providing post-discharge follow-up. The UR Coordinator will conduct initial, concurrent, and discharge reviews with payers and serve as a liaison between insurance providers and the clinical team.
Requirements
- Bachelor's degree required
- Experience in a psychiatric setting and knowledge of health care service delivery systems and third-party reimbursement.
- Excellent verbal and written communication skills.
- Knowledge of managed care environment; ability to apply and interpret admission and continued stay criteria.
- Understanding of admission and discharge function; familiarity with medical terminology, diagnostic terms, and treatment modalities.
- Knowledge of medical record keeping; intense interpersonal, organizational, evaluative, and time management skills.
- Policy interpretation skills; familiarity with applicable standards and regulations; flexibility; attention to detail; able to comprehend psychiatric evaluations, consults, lab results, etc.
- Responsiveness to deadlines; assertiveness, persistence, and persuasiveness; able to work with minimal direction or supervision.
- Must be 21 years of age or older.
- Current negative TB test and medical clearance.
- Pass a background check, drug screen, and meet qualifications for fingerprint clearance.
- Utilization review: 1 year (Required)
- Must be able to pass a drug screen and physical
- Must be eligible for a fingerprint clearance card
Responsibilities
- Monitor adherence to the hospital's utilization review plan
- Ensure the effective and efficient use of hospital services and optimize reimbursement
- Monitor the appropriateness of hospital admissions and extended hospital stays
- Improve patient outcomes and close care gaps by providing post-discharge follow-up
- Conduct initial, concurrent, and discharge reviews with payers
- Serve as a liaison between insurance providers and the clinical team
Benefits
- 401(k)
- Dental insurance
- Disability insurance
- Employee assistance program
- Employee discount
- Flexible spending account
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
