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)
JOIN OUR TEAM AS A UTILIZATION REVIEW COORDINATOR!
Your Work Matters How will you make a difference?
The UR Coordinator is responsible for contacts external case managers/managed care organizations for certification and recertification of insurance benefits throughout the patient’s stay, and assists 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 chairs treatment team meetings and continued stay reviews as indicated.
Case Management/Utilization Management
Treatment Planning
Discharge Planning
Your Experience Matters What we’re looking for:
Your Care Matters What we provide for our team:
What sets us apart?
Disclaimer: Benefits are subject to change at the discretion of Hospital for Behavioral Medicine.
Compensation:
This is a full-timerole and the expected compensation range for this role is $62,400 - $93,600 annually. We’re eager to engage with all qualified candidates, and consideration will be provided to experience and skill level. Join us as our Utilization Review Coordinator!
Get to know us Outstanding Care, Compassionate People, Unparalleled Service
Discover a fulfilling career at Hospital for Behavioral Medicine (HBM)!
Welcome to the heart of mental health treatment innovation in Worcester, MA! HBM, a cutting-edge 120-bed inpatient facility, is the leading provider of exceptional therapeutic care, prioritizing patient comfort and safety. In proud collaboration with UMass Memorial Health Care, our facility is conveniently situated near the UMass Memorial Medical Center, allowing us to serve the community with unwavering dedication.
At HBM, we go beyond inpatient care by offering an outpatient partial hospitalization program, ensuring continuous support while respecting the rhythm of daily lives. Our commitment to accessible care knows no bounds, as we emphasize availability irrespective of one's ability to pay.
Join us in providing exceptional care and contributing to the well-being of individuals and families in need, and be a part of the transformative healthcare experience at Hospital for Behavioral Medicine.
To learn more about HBM, visit us at: https://www.hospitalforbehavioralmedicine.com/
TOGETHER WE CAN MAKE POSITIVE I.M.P.A.C.T.S.
Individuals Maintaining Positive Attitude and Commitment To Service
At Hospital for Behavioral Medicine, we value a diverse, inclusive workforce and provide equal employment opportunities for all applicants and employees. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, gender identity or expression, age, marital status, veteran status, disability status, pregnancy, parental status, genetic information, political affiliation, or any other status protected by the laws or regulations in the locations where we operate. Accommodations are available for applicants with disabilities.