UR Coordinator - Full-time

UHS • Bartlett, TN

65d

About The Position

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

• 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.
• Appropriately manages patient benefits.

Benefits

• Excellent Medical, Dental, Vision and Prescription Drug Plan for full-time and part-time positions
• 401k plan with company match for full-time and part-time positions
• Generous Paid Time Off

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Number of Employees: 1,001-5,000 employees