Utilization Review Coordinator Jobs

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Utilization Management Coordinator

UHSJeffersonville, IN
Onsite

About The Position

Wellstone Regional Hospital is a 100-bed acute care facility located in Jeffersonville, Indiana and has been providing quality health care to the residents of Southern Indiana and the Louisville area since 2003. Wellstone specializes in the treatment of Adolescents, Children, Adults, and the CD population. In addition to our in-patient services, we offer out-patient programs as well. Wellstone currently has an opening for a full-time UM Coordinator in the UM Department. The Utilization Review Coordinator is responsible for executing the UR function, which includes the implementation of case management scenarios, consulting with all services to ensure the provision of an effective treatment plan for all patients. Oversees the response to requests for services and interfaces with managed care organizations, external reviewers, and other payers. Assures that good customer service practices are utilized. Maintains denials and appeals logs and reviews the progress of all appeals activity. Over-see compliance of Medicare audits and assure guidelines are being followed.

Requirements

  • Bachelor Degree in Mental Health/Behavioral Sciences, or RN in the state of Indiana
  • A minimum of three (3) years direct clinical experience in a psychiatric or mental health treatment setting
  • Experience in patient assessment, family motivation, treatment planning and communication with external review organizations or comparable entities
  • RN in the state of Indiana (if applicable)

Nice To Haves

  • Master's degree in Mental Health/Behavioral Sciences

Responsibilities

  • Executing the UR function, which includes the implementation of case management scenarios
  • Consulting with all services to ensure the provision of an effective treatment plan for all patients
  • Overseeing the response to requests for services and interfacing with managed care organizations, external reviewers, and other payers
  • Assuring that good customer service practices are utilized
  • Maintaining denials and appeals logs and reviewing the progress of all appeals activity
  • Overseeing compliance of Medicare audits and assuring guidelines are being followed

Benefits

  • Challenging and rewarding work environment
  • Growth and development opportunities within UHS and its 400+ subsidiaries
  • Competitive Compensation
  • 401k plan with company match
  • Generous Paid Time Off
  • Service Excellence atmosphere!
  • Tuition Reimbursement potential
  • Student Loan Repayment for certain degrees
  • FREE MEALS!

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Common questions about Utilization Review Coordinator careers and jobs.

Based on current job postings on Teal, the average Utilization Review Coordinator salary in the US is approximately $75,000 per year, with a typical range of $44,000 to $120,000.
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