Utilization Management Coordinator (Onsite)

Hendricks Behavioral Hospital•Plainfield, IN

1d•$47,000 - $56,000•Onsite

About The Position

JOIN OUR TEAM AS AN UTILIZATION MANAGEMENT (UM) COORDINATOR! Monday-Friday 8am-4pm or 9am-5pm Your Work Matters How will you make a difference? POSITION SUMMARY The UM Coordinator is responsible for 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. The UM Coordinator chairs treatment team meetings and continued stay reviews as indicated. Case Management/Utilization Management 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. Treatment Planning Review assessment information. Attend and chair and coordinate treatment team continued stay reviews, as indicated. Communicate with attending physician and program managers, and other providers of service, to assure continuity of care, efficiency, and effective transitions between levels of care. Provide feedback to the attending physician and treatment team members concerning continuing certification of days/services. Communicate with external reviewers and referral sources. Conduct external reviews and maintain documentation of interactions. Discharge Planning Coordinate discharge plans with the patient/family/significant/other, when indicated. Ensure discharge appointments are made in keeping with insurance requirements. Your Experience Matters What we’re looking for: Education: Bachelor’s or master’s degree from an accredited college or university in social work, mental health, nursing, or related degree preferred. Experience: 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. Your Care Matters What we provide for our team: 401(k) + matching Health insurance 100% company-paid health insurance up to family coverage 100% company-paid life insurance coverage up to 2x your annual salary Vision insurance Dental insurance 100% company-paid long term disability insurance Paid time off Paid Holidays Cafeteria on site Employee engagement events Employee assistance program Employee recognition program Free parking What sets us apart: Career & training development opportunities Dynamic and inclusive work environment Engaged management team dedicated to your success A guiding mission and set of values that serve as both our northstar and yours, anchoring our collective purpose and aspirations Disclaimer: Select benefits are available to full-time positions only. Benefits are subject to change at the discretion of Hendricks Behavioral Hospital. Compensation: This is a full-time, exempt role and the expected compensation range is $47,000 to $56,000 annually. We’re eager to engage with all qualified candidates, and consideration will be provided to experience and skill level. Join us as our UM Coordinator! Qualifications Get to know us Outstanding Care, Compassionate People, Unparalleled Service Welcome to Hendricks Behavioral Hospital (HBH), a distinguished behavioral health facility in Indiana, dedicated to providing personalized care and support for individuals facing mental health and chemical dependency challenges. Our comprehensive range of inpatient and outpatient services is designed to cater to the unique needs of each patient, ensuring they receive the highest quality of care. At HBH, we are deeply committed to creating a safe and supportive environment for our patients and are proud of our team of talented professionals who call HBH their home. We believe in the power of community collaboration and strive to make a positive impact on the lives of those we serve. Join us at Hendricks Behavioral Hospital in providing exceptional care and be part of a transformative healthcare experience. To learn more, please visit our website: https://www.hendricksbehavioralhospital.com/ TOGETHER WE CAN MAKE POSITIVE I.M.P.A.C.T.S. I ndividuals M aintaining P ositive A ttitude and C ommitment T o S ervice ____________________________________________________________ At Hendricks Behavioral Hospital, we value a diverse, inclusive workforce and provide equal employment opportunities for all applicants and employees. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, gender identity or expression, age, marital status, veteran status, disability status, pregnancy, parental status, genetic information, political affiliation, or any other status protected by the laws or regulations in the locations where we operate. Accommodations are available for applicants with disabilities.

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

The UM Coordinator is responsible for 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.
The UM Coordinator chairs treatment team meetings and continued stay reviews as indicated.
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.
Review assessment information.
Attend and chair and coordinate treatment team continued stay reviews, as indicated.
Communicate with attending physician and program managers, and other providers of service, to assure continuity of care, efficiency, and effective transitions between levels of care.
Provide feedback to the attending physician and treatment team members concerning continuing certification of days/services.
Communicate with external reviewers and referral sources.
Conduct external reviews and maintain documentation of interactions.
Coordinate discharge plans with the patient/family/significant/other, when indicated.
Ensure discharge appointments are made in keeping with insurance requirements.

Benefits

401(k) + matching
Health insurance
100% company-paid health insurance up to family coverage
100% company-paid life insurance coverage up to 2x your annual salary
Vision insurance
Dental insurance
100% company-paid long term disability insurance
Paid time off
Paid Holidays
Cafeteria on site
Employee engagement events
Employee assistance program
Employee recognition program
Free parking
Career & training development opportunities
Dynamic and inclusive work environment
Engaged management team dedicated to your success
A guiding mission and set of values that serve as both our northstar and yours, anchoring our collective purpose and aspirations