Utilization Review Coordinator Jobs

About The Position

Requirements

• A master’s degree in a relevant field is preferred but not required.
• Texas licensure as an LPC-I, LPC, LMSW, LMFT, or LMFT-A is preferred but not required.
• Two years of clinical experience in a facility is preferred.
• Experience with medical terminology and criteria for acute psychiatric inpatient care is preferred.
• Excellent communication, assessment, evaluation, and interpretation skills.
• Knowledge of psychiatric and addictive disease diagnoses and treatment.
• Flexibility; teaching or training skills are helpful.
• 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.
• Basic PC skills, including Windows and Microsoft Outlook, Word, and Excel.
• Ability to type at least 30 words per minute.
• Excellent communication skills, good listening skills, and a pleasant demeanor that encourages and engages others.
• Ability to multitask and prioritize, with strong time-management skills.
• Must successfully pass a background check, drug screen, and physical, and provide positive employment references.

Nice To Haves

• A 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 experience with medical terminology and criteria for acute psychiatric inpatient care.
• Knowledge of insurance coverage and billing practices.
• Previous experience in utilization review or case management.
• Teaching or training skills.

Responsibilities

• Work with insurance companies and managed care systems on authorization and concurrent and retrospective review of inpatient admissions and services.
• Obtain authorization for each admitted patient.
• Review and monitor each step of the authorization process and identify potential problems proactively to help patients access the full range of their benefits.

Benefits

• Dental insurance
• Vision insurance
• Company-paid disability
• 401(k)
• A generous amount of paid time off