UR COORDINATOR
UHS•Kouts, IN
3d
About The Position
The UR Coordinator is responsible for managing the treatment activities offered to the patient, including the appropriate clinical screening of admissions, establishment of treatment plans, interface with the treatment team/external case managers/managed care organizations and implementation and supervision of the discharge planning.
Requirements
- Bachelor's degree from an accredited college or university in social work, mental health or a Nursing degree is required.
- A minimum of two years direct clinical experience in a psychiatric or mental health setting. Experience in patient assessment, family motiviation, treatment planning and communication with external review organizations or comparable entities.
- RN, LSW, LCSW license or equivalent.
Responsibilities
- Assist potential patients in gaining access to federal and state support systems.
- Consult with the business office and/or admission staff as needed to clarify data and ensure the insurance precertification process is complete.
- Provide clinical precertification information to patients, managed care companies, insurance companies and other third party reviewers to establish the length of stay or number of certified days.
- Coordinate with the insurance company doctor in appeals process and denials process.
