Utilization Management Coordinator
About The Position
JOIN OUR TEAM AS A FULL-TIME UTILIZATION MANAGEMENT COORDINATOR! Your Work Matters How will you make a difference? Are you an empathetic and dedicated professional seeking to positively impact the mental well-being of individuals? Your opportunity awaits at Ridgeview Institute Monroe! As a Utilization Management Coordinator, you'll be an integral part of our treatment team, providing continuous care, supervision, and positive role modeling to patients across various age groups from adolescent to geriatrics. Working under the guidance of a Utilization Management Coordinator, you'll contribute to creating a therapeutic environment that fosters patient support and well-being. If you are passionate about mental health care and ready to make a meaningful difference in the lives of patients, join us at Ridgeview Institute Monroe. Here you will be a crucial member of our dynamic and compassionate healthcare team, where your dedication as a Utilization Management Coordinator (UM) will positively impact the overall treatment experience for our diverse patient population. Review the treatment plan and advocate for additional services as indicated. Promote effective use of resources for patients. Ensure that patient rights are upheld. Maintain ongoing contact with the attending physician, program manager, nurse manager, and various members of the team. Collaborate with the treatment team regarding continued stay and discharge planning issues. Advocate that the patient is placed in the appropriate level of care and program. Interface with program staff to facilitate a smooth transition at the time of transfer or discharge. Maintain documentation related to case management activities. Assure tracking of insurance reviews, and that reviews are completed in a timely manner. Maintain statistical reports and prepare documentation of significant findings.
Requirements
- Bachelor’s or Master’s degree from an accredited college or university in social work, mental health, nursing, or related degree preferred.
- A minimum of 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.
Responsibilities
- Review the treatment plan and advocate for additional services as indicated.
- Promote effective use of resources for patients.
- Ensure that patient rights are upheld.
- Maintain ongoing contact with the attending physician, program manager, nurse manager, and various members of the team.
- Collaborate with the treatment team regarding continued stay and discharge planning issues.
- Advocate that the patient is placed in the appropriate level of care and program.
- Interface with program staff to facilitate a smooth transition at the time of transfer or discharge.
- Maintain documentation related to case management activities.
- Assure tracking of insurance reviews, and that reviews are completed in a timely manner.
- Maintain statistical reports and prepare documentation of significant findings.
Benefits
- 401(k) + matching
- Health insurance
- 100% company-paid life insurance coverage up to 2x your annual salary
- Vision insurance
- Dental insurance
- 100% company-paid short and long term disability insurance
- Paid time off
- Paid Holidays
- Employee engagement events
- Employee assistance program
- Employee recognition program
- Free parking
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
Associate degree
