UTILIZATION REVIEW COORDINATOR
About The Position
The UR Coordinator 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 UR Coordonator is responsible for having a thorough understanding of the patient’s treatment through communication with the treatment team. The UR Coordinator advocates for the patient’s access to services during treatment team meetings and through individual physician contact. The UR Coordinator chairs treatment team meetings and continued stay reviews as indicated.
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 preferred
Responsibilities
- contacts external case managers/managed care organizations for certification and recertification of insurance benefits throughout the patient’s stay
- assists the treatment team in understanding the insurance company’s requirements for continued stay and discharge planning
- responsible for having a thorough understanding of the patient’s treatment through communication with the treatment team
- advocates for the patient’s access to services during treatment team meetings and through individual physician contact
- chairs treatment team meetings and continued stay reviews as indicated
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Number of Employees
1,001-5,000 employees
