Utilization Review Coordinator conducts utilization reviews to determine if patients are receiving care appropriate to illness or condition. Monitors patient charts and records to evaluate care concurrent with the patients treatment. Being a Utilization Review Coordinator reviews treatment plans and status of approvals from insurers. Collects and complies data as required and according to applicable policies and regulations. Additionally, Utilization Review Coordinator consults with physicians as needed. May require a bachelor's degree. Typically reports to a supervisor. Typically requires Registered Nurse(RN). The Utilization Review Coordinator contributes to moderately complex aspects of a project. Work is generally independent and collaborative in nature. To be a Utilization Review Coordinator typically requires 4 to 7 years of related experience. (Copyright 2024 Salary.com)
Pay Rate: $16-$18 per hour depending on education and experience.
Experience Requirements:
Two years’ experience working in case management or utilization review with at least one of those years of experience working with economically disadvantaged, vulnerable or at-risk youth and/or adults.
Must be 20 years old to apply. Pre-employment drug screen, physical and background check required.
Education Requirements:
Bachelor’s degree in Social Work, Education, Sociology, Psychology, Counseling or Criminal Justice/Criminology preferred.
Licensure/Certification:
Valid driver’s license and auto insurance.
The Case Manager for Camber Children’s Mental Health (CCMH) ensures accuracy with utilization review, care management, discharge planning and other client specific data. They are responsible for the information flow to the internal treatment team including therapists, doctors and externally to the mental health liaison, parents and other relevant members of the treatment team. Schedule available is Monday-Friday from 8am-5pm. The position has the possibility of becoming hybrid after three months if expectations are met.
Benefits:
CCMH provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
Camber is a private, nonprofit organization and a subsidiary of KVC Health Systems. KVC Health Systems is the parent company of a family of nonprofit organizations working to make a difference in the lives of children, adults and families.
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