UR Coordinator - Full time

UHS•Bartlett, TN

About The Position

Lakeside Behavioral Health System provides an excellent opportunity for those seeking to be part of a team-oriented and compassionate organization. Our staff tell us that our team is their number one reason for working at Lakeside and we offer competitive compensation, excellent comprehensive benefits, opportunities for advancement, tuition assistance, and paid time off. Since 1969, Lakeside has been the premier provider of specialized behavioral health and addictive disease services in the Memphis and Mid-South region. The 365-bed facility is one of the largest free-standing psychiatric hospitals in the United States. We are located on a serene 37-acre campus in northeast Shelby County, serving as the setting for the treatment for children, adolescents, young adults, adults and seniors. Lakeside’s comprehensive programs treat disorders such as bipolar disorder, psychological trauma, depression and anxiety, mental illness and addictive disease disorders such as alcoholism, drug addiction and substance abuse. Job Description The UM Coordinator possesses knowledge of psychiatric clinical diagnosis and the ability to articulate those indicators professionally. The UM Coordinator evaluates patient medical records to determine severity of patient’s illness and determining the appropriateness of level of care. Serves as liaison for patients and hospital with insurance companies. Negotiates and advocates for patient length of stay and level of care. Oversees utilization review activities with other departments to ensure reimbursement for services provided by the hospital. The UM Coordinator facilitates physician weekly staffing meetings and coordinates with physician’s outpatient offices for the purposes of billing. The UM Coordinator has a working knowledge of all levels of care offered and appropriately manages patient benefits.

Requirements

Education: Bachelors prepared healthcare professional (Nursing, Counseling, Psychology or SocialWork) required, MA/MSW or RN preferred.
Experience: A minimum of 3-5 years direct psychiatric patient care experience.
Licensure/Certification: Valid TN RN license, LCSW, or LPC preferred.
Knowledge: Must possess knowledge of psychiatric care, utilization review, insurance reimbursement procedures, DSM-V, etc. Advanced computer skills necessary. Strong analytical, organizational, verbal and written skills required.

Nice To Haves

MA/MSW or RN preferred.
Valid TN RN license, LCSW, or LPC preferred.

Responsibilities

The UM Coordinator possesses knowledge of psychiatric clinical diagnosis and the ability to articulate those indicators professionally.
The UM Coordinator evaluates patient medical records to determine severity of patient’s illness and determining the appropriateness of level of care.
Serves as liaison for patients and hospital with insurance companies.
Negotiates and advocates for patient length of stay and level of care.
Oversees utilization review activities with other departments to ensure reimbursement for services provided by the hospital.
The UM Coordinator facilitates physician weekly staffing meetings and coordinates with physician’s outpatient offices for the purposes of billing.
The UM Coordinator has a working knowledge of all levels of care offered and appropriately manages patient benefits.