UTILIZATION MANAGMENT (UM) COORDINATOR - PRN
About The Position
At Rolling Hills, our mission is to offer compassionate, safe, effective behavioral healthcare treatment. We use solution-focused strategies and diligently strive for a safe and positive environment for patients, families, and employees. We never forget that we provide care and comfort to people in need. The Utilization Management Coordinator monitor appropriate utilization of services throughout the course of treatment for patients admitted to the inpatient and outpatient programs and coordinates authorizations with third-party payers. The UM Coordinator reviews cases for appropriateness of admission, continued stay, and discharge planning while assisting in the promotion and maintenance of high quality patient care.
Requirements
- Must possess a current RN license or Master's Degree in Behavioral Health field (e.g. Counseling, Social Work, Psychology)
- Current TN Driver License
- Current CPR (training provided)
- Current Handle With Care (training provided)
- Experience in a psychiatric setting as a counselor or nurse preferred
- reading, writing, and mathematical skills at the masters' degree level
- skills in application of DSM methodology
- excellent telephone etiquette and tact
- audible speech, with good enunciation
- ability to interact effectively with persons of widely diverse roles, backgrounds, cultures, and socio-economic classes
- effective oral and written communication skills
- skills in analyzing and evaluating information
- ability to concentrate on tasks and meet deadlines
- basic data entry skills preferred
- organizational, time management, problem solving
- meet deadlines
- basic data entry skills preferred
- crisis management skills necessary
- flexibility, creativity, and the ability to manage stress are necessary
Nice To Haves
- Experience in a psychiatric setting as a counselor or nurse preferred
- basic data entry skills preferred
- basic data entry skills preferred
Responsibilities
- monitor appropriate utilization of services throughout the course of treatment for patients admitted to the inpatient and outpatient programs
- coordinates authorizations with third-party payers
- reviews cases for appropriateness of admission, continued stay, and discharge planning
- assisting in the promotion and maintenance of high quality patient care
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What This Job Offers
Job Type
Part-time
