Utilization Management Coordinator

UHS•Winston-Salem, NC

1d•Onsite

About The Position

At Old Vineyard Behavioral Health Services, we are helping to create brighter, healthier futures for our patients and their families. We are the Piedmont Triad's only private psychiatric hospital meeting the chemical dependency illnesses and behavioral healthcare needs of those in our community. Our 164-bed inpatient services for adolescents through senior adulthood offers comprehensive and individual assessments, psychiatric evaluation and medication stabilization, daily group therapy and personalized aftercare planning. We also offer a Partial Hospitalization and Intensive Outpatient Treatment Program to ensure the continuum of care for our patients. Old Vineyard is accredited by The Joint Commission and certified by the Centers for Medicare and Medicaid Services. We are passionate about our work and are looking for individuals who share in this passion. We are currently seeking a Utilization Management Coordinator to join our talented and caring team. Our ideal candidate will possess strong multitasking skills, the ability to provide compassionate and competent care to a diverse patient population, must be able to build and maintain positive professional relationships with all hospital staff and patients, as well as demonstrate professional, effective communication skills. Position Summary: The Utilization Management Coordinator possesses knowledge of psychiatric clinical diagnosis and the ability to articulate those indicators professionally. 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. Has a working knowledge of all levels of care offered and appropriately manages patient benefits. Participates in the patient discharge process through Treatment Team meeting attendance.

Requirements

Master's degree in counseling, social work, or related field.
Five years experience in behavioral health field required.
Licensed professional (LCSW, LCMHC, or LMFT).
Staff must demonstrate flexibility for reassignment to units providing care to varied populations including male and female adolescents and adults, as well as dually diagnosed adults.

Nice To Haves

One year experience in utilization management within behavioral health setting strongly 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.
Has a working knowledge of all levels of care offered and appropriately manages patient benefits.
Participates in the patient discharge process through Treatment Team meeting attendance.