Utilization Management Coordinator - PRN
About The Position
Quail Run Behavioral Health Hospital in Phoenix is seeking a dynamic and talented UM Coordinator to join our team of compassionate, dedicated professionals in our utilization review department. The UM Coordinator contacts external case managers/managed care organizations for certification and recertification of insurance benefits throughout the patient’s stay, and assists the treatment team in understanding the insurance company’s requirements for continued stay and discharge planning. The UM Coordinator is responsible for having a thorough understanding of the patient’s treatment through communication with the treatment team. The UM Coordinator advocates for the patient’s access to services during treatment team meetings and through individual physician contact.
Requirements
- Bachelor’s prepared healthcare professional (Counseling, Psychology or Social Work) required.
- A minimum of two (2) years experience in a healthcare setting or managed care company.
- Must have or be able to obtain a Level 1 Fingerprint Clearance Card.
Nice To Haves
- Master’s preferred.
- Pscyh Hospital experience preferred.
Responsibilities
- Contact external case managers/managed care organizations for certification and recertification of insurance benefits throughout the patient’s stay.
- Assist the treatment team in understanding the insurance company’s requirements for continued stay and discharge planning.
- Have a thorough understanding of the patient’s treatment through communication with the treatment team.
- Advocate for the patient’s access to services during treatment team meetings and through individual physician contact.
Benefits
- Challenging and rewarding work environment
- Competitive Compensation & Generous Paid Time Off
- Excellent Medical, Dental, Vision and Prescription Drug Plans
- 401(K) with company match and discounted stock plan
- SoFi Student Loan Refinancing Program
- Career development opportunities within UHS and its 300+ Subsidiaries!
- Tuition Assistance after 90 days of employment!
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What This Job Offers
Career Level
Mid Level
