Utilization Review Coordinator - Temporary (license preferred)

UHS•Greenville, TX

40d•Onsite

About The Position

Glen Oaks Hospital is a 54-bed private mental health hospital in a relaxed setting in Greenville, Texas. Our comfortable, homelike atmosphere is conducive to healing for the adults and seniors we treat. Our greatest asset is the staff, comprised of psychiatrists, professional nurses, social workers and therapists. These individuals work as a team to uphold Glen Oaks Hospital’s reputation for excellence in helping patients resolve mental health and addiction problems. For over 30 years, Glen Oaks Hospital has been a leader in the field of mental health and chemical dependency care, and our staff is dedicated to researching the latest treatment approaches and applying this to our overall treatment philosophy. The UR Coordinator contacts external case managers/managed care organizations for certification and recertification of insurance benefits throughout the patient’s stay, and will assist the treatment team in understanding the insurance company’s requirements for continued stay and discharge planning. The UR Coordinator 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 attends treatment team meetings and continued stay reviews as indicated.

Requirements

CPR certification
Handle with Care training within 30 days of employment
Verbal De-Escalation training within 30 days of employment

Nice To Haves

A degree from an accredited college or university in social work, mental health, nursing, or related degree.
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.
R.N. LVN, L.M.S.W., LPC, or other healthcare-related licensure.

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.
Has 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.
Attends treatment team meetings and continued stay reviews as indicated.