Utilization Management Coordinator - Full Time

UHS • Chicago, IL

130d

About The Position

Hartgrove Behavioral Health System is a 160-bed leading psychiatric hospital dedicated to providing quality behavioral health services for its diverse population of children, adolescents and adults. Hartgrove Hospital has become the flagship behavioral health facility within Universal Health Services, Inc., its parent company. As a leader in behavioral health within UHS and in the Chicago area, Hartgrove Hospital is a state-of-the-art facility offering some of the most advanced technologies and programs found in the behavioral health field. We are dedicated to our teamwork approach and provide a compassionate and therapeutic environment, as well as offering a continuum of specialty programs throughout our inpatient, partial and outpatient services. Utilization Management Coordinator - Full Time (32 hours/week) JOB SUMMARY: Performs timely, daily clinical reviews with all payer types, to secure authorization for initial and continued treatment based on payer’s criteria and in accordance with the hospital wide Utilization Management Plan. Serves as liaison to 3rd and 4th party reviewers, effectively coordinating collection of all supporting data to support the hospital and patients’ position. Functions as a key member of the multidisciplinary treatment team to educate and guide on level of care requirements and payer expectations for patient acuity and appropriate utilization. Completes quality and timely appeal/denial letters. Participates in post claim recovery review and ongoing audit activity, supporting compliance with CMS and other regulators. Works collectively with hospital operations to ensure timely documentation is aligned with patient conditions. Contributes to monthly utilization data trends using hospital data tools to report for the overall operation. Facilitates physician reviews with payers as required. Maintains all records/data pertaining to the Utilization Management Program. Actively participates in Utilization Management/Medical Records Committee meetings including presentation of reports, statistics, etc. Participates in the hospital-wide Quality Assurance Program.

Requirements

• Bachelor’s Degree in behavioral health related field required; Master Degree preferred.
• 1 year experience in Utilization Management.
• 1 year experience in mental health/psychiatry preferred.
• Knowledge of utilization review, insurance and managed care procedures.
• Current knowledge of regulating/accrediting agency guidelines.
• Basic knowledge of computer skills and statistical analysis desired.
• Knowledgeable in behavioral health managed care and clinical assessment skills.
• Effective oral and written communication skills.

Responsibilities

• Performs timely, daily clinical reviews with all payer types to secure authorization for initial and continued treatment.
• Serves as liaison to 3rd and 4th party reviewers, coordinating collection of supporting data.
• Functions as a key member of the multidisciplinary treatment team to educate on level of care requirements.
• Completes quality and timely appeal/denial letters.
• Participates in post claim recovery review and ongoing audit activity.
• Works with hospital operations to ensure timely documentation is aligned with patient conditions.
• Contributes to monthly utilization data trends using hospital data tools.
• Facilitates physician reviews with payers as required.
• Maintains all records/data pertaining to the Utilization Management Program.
• Actively participates in Utilization Management/Medical Records Committee meetings.
• Participates in the hospital-wide Quality Assurance Program.

Benefits

• A rewarding career improving the lives of adults and youth.
• Highly competitive wages & shift differentials.
• Career advancement and mobility.
• An engaged leadership team with a commitment to patient and staff safety.

What This Job Offers

• Job Type: Full-time
• Education Level: Bachelor's degree
• Number of Employees: 1,001-5,000 employees