Utilization Review Coordinator - Part Time

Georgetown Behavioral Health Institute•Georgetown, TX

About The Position

Georgetown Behavioral Health Institute, a 118-bed inpatient behavioral health hospital, is seeking a part-time Outpatient Utilization Review Coordinator. The position works with insurance companies and managed care systems to coordinate authorization, concurrent, and retrospective review of inpatient admissions and services. The coordinator obtains authorization for each admitted patient and monitors each step of the authorization process to identify potential problems proactively and help patients access the full range of their benefits through utilization review. A master’s degree in a relevant field and Texas licensure as an LPC-I, LPC, LMSW, LMFT, or LMFT-A are preferred but not required. The employer prefers two years of clinical experience in a facility, including familiarity with medical terminology and criteria for acute psychiatric inpatient care. Knowledge of insurance coverage and billing practices is preferred; utilization review or case management experience is desirable. Candidates must pass a background check, drug screen, and physical, and provide positive employment references. The description notes that employees may perform other related duties to meet the hospital’s ongoing needs. Georgetown Behavioral Health Institute states that it is an equal opportunity employer and makes employment decisions based on merit.

Requirements

Pass a background check, drug screen, and physical.
Provide positive employment references.
Have basic PC skills, including working with Windows, Microsoft Outlook, Word, and Excel.
Be able to type at least 30 words per minute.
Demonstrate excellent communication, assessment, evaluation, and interpretation skills.
Be able to multitask, prioritize, and manage time effectively.
Meet the stated physical demands, with or without reasonable accommodations.

Nice To Haves

Master’s degree in a relevant field, such as mental health, social work, counseling, marriage and family therapy, or psychology.
Texas licensure as an LPC-I, LPC, LMSW, LMFT, or LMFT-A.
Two years of clinical experience in a facility, including medical terminology and criteria for acute psychiatric inpatient care.
Knowledge of insurance coverage and billing practices.
Previous experience in utilization review or case management.
Knowledge of psychiatric and addictive disease diagnoses and treatment.
Teaching or training skills.
Understanding of, or ability to understand, DSM-V methodology.
Advanced knowledge and clinical skills in mental health diagnosis and treatment.
Knowledge of patient rights and laws pertaining to mental health.

Responsibilities

Work with insurance companies and managed care systems on authorization, concurrent review, and retrospective review of inpatient admissions and services.
Obtain authorization for each admitted patient.
Review and monitor each step of the authorization process to identify potential problems proactively.
Help patients access the full range of their benefits through the utilization review process.
Perform other related duties as needed to meet the ongoing needs of the hospital.