Utilization Management Coordinator - LPN

Smokey Point Behavioral Hospital•Marysville, WA

4d•$35 - $39•Onsite

About The Position

The LPN Utilization Management Coordinator at Smokey Point Behavioral Hospital plays a pivotal role in contacting external case managers/managed care organizations to obtain insurance benefits certification and recertification throughout the patient’s stay. This role involves reviewing treatment plans and advocating for additional services, promoting effective resource use, and ensuring patient rights are upheld. The coordinator will maintain ongoing contact with the attending physician, program manager, nurse manager, and other team members, collaborating on continued stay and discharge planning. They will advocate for the patient to be placed in the appropriate level of care and program and interface with program staff to facilitate a smooth transition at the time of transfer or discharge.

Requirements

Graduate from an accredited licensed practical nursing program required.
At least two (2) years’ experience in a healthcare setting or managed care company, with experience in patient assessment, treatment planning, utilization management, and/or case management.
Currently licensed to practice by the State of Washington.

Responsibilities

Contacting external case managers/managed care organizations to obtain insurance benefits certification and recertification throughout the patient’s stay.
Reviewing the treatment plan and advocating for additional services as indicated.
Promoting effective use of resources for patients.
Ensuring that patient rights are upheld.
Maintaining ongoing contact with the attending physician, program manager, nurse manager, and other team members.
Collaborating with the treatment team on continued stay and discharge planning.
Advocating for the patient to be placed in the appropriate level of care and program.
Interfacing with program staff to facilitate a smooth transition at the time of transfer or discharge.