UTILIZATION - CASE MANAGER (RN/LIC) FT

UHS • Eagle Pass, TX

22h

About The Position

The Behavioral Health Utilization Management Case Management-Coordinator supports the utilization management process for behavioral health services. The position coordinates authorization activities, maintains accurate payer and clinical documentation, monitors authorization timelines, and facilitates communication among clinical teams, payers, and revenue cycle departments. The coordinator helps ensure that services are reviewed timely, accurately documented, and provided at the appropriate level of care in accordance with payer requirements, regulatory standards, and organizational policies.

Requirements

• Bachelor’s degree in Nursing, Counseling, Psychology, or Social Work.
• Registered Nurse licensure is required.

Nice To Haves

• Experience as a treatment team member in an acute inpatient psychiatric setting and/or utilization management experience.
• Social Work, Marriage and Family, or Mental Health Counseling licensure or certification (e.g., LPC, LMHC, LCSW, LCPC, LPCC).

Responsibilities

• Coordinate authorization activities for behavioral health services.
• Maintain accurate payer and clinical documentation.
• Monitor authorization timelines.
• Facilitate communication among clinical teams, payers, and revenue cycle departments.
• Help ensure services are reviewed timely, accurately documented, and provided at the appropriate level of care in accordance with payer requirements, regulatory standards, and organizational policies.

What This Job Offers

• Job Type: Full-time