Utilization Review Coordinator

UHS • Fayetteville, AR

2d

About The Position

Springwoods Behavioral Health, an 80-bed behavioral health facility located in Fayetteville, Arkansas, provides acute inpatient treatment for adolescent, adult, and specialty program for women. The hospital also offers outpatient treatment. Our six-acre campus is adjacent to a 123-acre Audubon Wildlife and Bird Sanctuary, which is held in perpetuity and cannot be developed from its natural state. This provides Springwoods with a peaceful setting for those embarked on the road to recovery.
Visit us online at: https://www.springwoodsbehavioral.com/
Are you passionate about maintaining the highest standards of patient care quality? We're seeking a dedicated Utilization Review Coordinator (PRN) to join our team and ensure that the services provided to our facility's residents are in full compliance with established quality standards. If you have a keen eye for detail, a strong understanding of medical records review, and a commitment to advocating for proper treatment, we want to hear from you.
The UM Coordinator coordinates the design, development, implementation, and monitoring of Springwoods Behavioral Health’s utilization review functions. The UM Coordinator will achieve the goals of clinical, financial and utilization as set forth in the UM plan by effective management and communication. The UM Coordinator functions as the internal resource on issues related to the appropriate utilization of resources, coordination of care across the continuum and utilization review. The UM Coordinator is responsible for carrying out assignments in a manner to assure success in financial management, quality and operational management objectives. The UM Coordinator participates in program development and unit performance improvement. The UM Coordinator consistently demonstrates the core values and mission statement of Springwoods Behavioral Health.

Requirements

• Bachelor's degree in a related field (e.g., healthcare administration, social work, psychology).
• Strong knowledge of medical records review processes and utilization standards.
• Familiarity with federal, state, and county regulations pertaining to patient care.
• Excellent attention to detail and the ability to analyze complex information.
• Effective communication skills for advocating on behalf of residents and collaborating with medical providers.
• Compassionate and empathetic approach when dealing with patients and their treatment needs.

Responsibilities

• Coordinates the design, development, implementation, and monitoring of Springwoods Behavioral Health’s utilization review functions.
• Achieve the goals of clinical, financial and utilization as set forth in the UM plan by effective management and communication.
• Functions as the internal resource on issues related to the appropriate utilization of resources, coordination of care across the continuum and utilization review.
• Responsible for carrying out assignments in a manner to assure success in financial management, quality and operational management objectives.
• Participates in program development and unit performance improvement.
• Consistently demonstrates the core values and mission statement of Springwoods Behavioral Health.

What This Job Offers

• Job Type: Part-time
• Career Level: Entry Level
• Number of Employees: 501-1,000 employees