Utilization Management Coordinator-PRN
About The Position
Utilization Management Coordinator -PRN Opportunity West Oaks Hospital has provided psychiatric care to the Houston area and surrounding communities for over four decades. Our 176-bed acute care facility is fully accredited and included a 16-bed residential treatment center for adult chemical dependency. We offer a broad range of behavioral health programs for children, adolescents and adults.Treatment is offered at multiple levels of care including inpatient, partial hospitalization and intensive outpatient. We are available 24 hours a day, seven days a week to assist you and answer your questions about treatment options and insurance coverage. The hospital is easily accessible off the Southwest Freeway near the Galleria. Visit us online at: https://westoakshospital.com/ West Oaks Hospital is seeking a dynamic and talented Utilization Management Coordinator to join our team of compassionate, dedicated professionals. The Utilization Management Coordinator provides administrative case management, conducts admission and continued stay reviews, assists in appeal of inappropriate reimbursement denials, participates in the hospital’s Performance Improvement Plan.
Requirements
- Education Required: Bachelor’s Degree in Psychology, Social Work, Nursing or related field, or Associate Degree in Nursing.
- Licensure and certification Required: CPR and hospital de-escalation certifications.
- Experience Required: Minimum of one year of case management experience and one year inpatient psychiatric experience.
Nice To Haves
- Preferred: Masters degree in human related field.
- Preferred: TX LVN, RN or LCDC license.
- Preferred experience: 5 years of clinical or case management experience.
Responsibilities
- Monitors cases for medical necessity, appropriate duration of service and over or under utilization of resources.
- Completes admission and continued stay reviews with managed care companies and obtains certification.
- Identifies documentation defects.
- Participates in efforts to recover denials.
- Collaborates with medical staff, administration and treatment team.
- Participates in efforts to recover denials.
Benefits
- Challenging and rewarding work environment
- Competitive Compensation & Generous Paid Time Off
- Career development opportunities within UHS and its 300+ Subsidiaries
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What This Job Offers
Job Type
Part-time
Career Level
Entry Level
