Utilization Review Coordinator

UHS•Scottsdale, AZ

2d•Onsite

About The Position

The Utilization Management Coordinator reports to the Utilization Management Director. UM Coordinators provide an ongoing, systematic process for the assessment of the necessity and efficiency of the use of Via Linda Behavioral Hospital services. Interface with managed care organizations, external reviewers, and other payors for initial reviews, continued stay reviews and discharge planning. Assists in the promotion and maintenance of high-quality patient care through the review and evaluation of clinical practices. This is an in-office position.

Requirements

Bachelor’s Degree in Social Services, Human Development, Nursing, or related field required.
Must be a Registered Nurse or licensed as an LMSW, LCSW, LPC, MFT or similar AZ Board of Behavioral Health licensure required.
3+ years' experience in a behavioral health or medical inpatient facility serving patients, and special knowledge of the UM department.
Must have or be able to obtain a Level 1 Fingerprint Clearance Card.

Nice To Haves

Master’s degree preferred.

Responsibilities

Provide an ongoing, systematic process for the assessment of the necessity and efficiency of the use of Via Linda Behavioral Hospital services.
Interface with managed care organizations, external reviewers, and other payors for initial reviews, continued stay reviews and discharge planning.
Assist in the promotion and maintenance of high-quality patient care through the review and evaluation of clinical practices.