![Neuropsychiatric Hospitals](https://media.trabajo.org/img/noimg.jpg)
Utilization Review Coordinator
2 months ago
About Us**:_HEALING THE BODY AND MIND_**
Founded fifteen (15) years ago, NeuroPsychiatric Hospital is the largest hospital system in the nation providing care to patients with both neurological and medical needs. We are unique in that we serve a population which others have been previously been unable to, largely due the patient’s underlying medial issues. Our facilities maintain an inter-disciplinary focus using a multi-specialty approach for both neuropsychiatric and complex medical care issues. This proven approach provides unrivaled quality care for all of our patients. We have multiple locations throughout the United States and are continuing to add locations to ensure better access to our unique model of care.
Overview:is looking for a Utilization Review Coordinator to coordinate patients’ services across the continuum of care by promoting effective utilization, monitoring health resources and elaborating with multidisciplinary teams.
*
Benefits of joining NPH*
- Competitive pay rates
- Medical, Dental, and Vision Insurance
- NPH 401(k) plan with up to 4% Company match
- Employee Assistance Program (EAP) Programs
- Generous PTO and Time Off Policy
- Special tuition offers through Capella University
- Work/life balance with great professional growth opportunities
- Employee Discounts through LifeMart
**Responsibilities**:
- Filing documents as needed.
- Initial Precertification with payors.
- Concurrent Clinical review with payors.
- Document in the electronic system daily in real time.
- Admission audit.
- Ensures that CON’s/RON’s and CMS certifications are completed by provider.
- Consistently demonstrates professionalism with all internal and external customers as evidenced by positive customer and peer Communicates effectively with all staff and patients as evidenced by the establishment and maintenance of productive working relationships.
- Maintains knowledge of current trends and developments in the field by reading appropriate books; journals and other literature and attending related seminars or conferences.
- Maintains a professional approach with Assures protection and privacy of health information as attained through written, electronic or oral disclosures.
- Cooperates and maintains good rapport with nursing staff, medical staff, and other departments.
- Seeks guidance and remains knowledgeable of, and complies with, all applicable federal and state laws, as well as hospital polices that apply.
- Complies with hospital expectations regarding ethical behavior and standards of conduct.
- Complies with federal and hospital requirements in the areas of protected health information and patient information.
- Reconsiderations, assists with appeals as needed, arrange peer to peer level reviews, and report the outcomes to the VP of Care Management and Team.
- Provides education to nursing staff. ;eadership team, and providers regarding documentation.
- Actively works with the business office regarding resolution of appeals/denials and retrospective reviews.
Qualifications:Education: An undergraduate or graduate degree in behavioral health or a Registered Nurse (RN)
Licensure: QMA, CMA, CCM, ACM or MA (preferred)
Skills: Must have strong knowledge of medications and demonstrate exceptional time management, data entry, and communication skills. Must be detail oriented.#INDEEDLOW
We have other current jobs related to this field that you can find below
-
Scheduling Coordinator
5 days ago
Mishawaka, United States SISTERS OF THE HOLY CROSS INC Full timeJob DescriptionJob DescriptionMain Function:The Scheduling Coordinator is responsible for organization, implementation, adjustment, and maintenance of schedules in various departments to ensure that every shift is fully staffed.ESSENTIAL FUNCTIONSCreates and/or implements staffing schedule for various departments and assures adequate staffing per guidelines...
-
Job File Coordinator
2 months ago
Mishawaka, United States SERVPRO of South Bend, NEW. St. Joseph County Full timeJob DescriptionJob DescriptionDrops::AccountDrop is hiring a File Coordinator.Benefits/PerksTop industry compensationVision and dental insurancePaid HolidaysPaid vacation time401K retirement planCareer progressionProfessional developmentKey Responsibilities:Set up and complete all job project files including claim information and all contract information is...
-
Job File Coordinator
2 months ago
Mishawaka, United States SERVPRO of South Bend, NEW. St. Joseph County Full timeJob DescriptionJob DescriptionDrops::AccountDrop is hiring a File Coordinator.Benefits/PerksTop industry compensationVision and dental insurancePaid HolidaysPaid vacation time401K retirement planCareer progressionProfessional developmentKey Responsibilities:Set up and complete all job project files including claim information and all contract information is...
-
Job File Coordinator
3 weeks ago
Mishawaka, United States SERVPRO of South Bend, NEW. St. Joseph County Full timeDrops::AccountDrop is hiring a File Coordinator. Benefits/Perks Top industry compensation Vision and dental insurance Paid Holidays Paid vacation time 401K retirement plan Career progression Professional development Key Responsibilities: Set up and complete all job project files including claim information and all contract information is accurate Verify job...
-
Engineering Coordinator
2 months ago
Mishawaka, United States ABI Attachments Full timeJob DescriptionJob DescriptionSalary: Competitive Market ValueBasic Function: The Engineering Coordinator executes tactical activities integral to the development of new products and the constant improvement of existing ones.Activities & Responsibilities: Project Coordination Maintain the active projects in our project management system; updating project...
-
Store Event Coordinator
3 weeks ago
Mishawaka, United States Michaels Stores Full timeStore - S. BEND-MISHAWAKA, IN We're here for the Makers! Come be a part of the team where innovation and teamwork come together to support the most exciting missions in the world! Michaels is an Equal Opportunity Employer. We are here for all Team Members and all Makers to create, innovate and be better together. Plan, coordinate, and facilitate events...
-
Senior Manager Financial Accounting C.P.A.
4 weeks ago
Mishawaka, United States NPAworldwide Full timeJob description: JOB SUMMARYThe Senior Manager Financial Accounting and Reporting is at the center of Franciscan's in-house expert team for technical accounting matters. This role's primary responsibility is for the complete, accurate, and timely production of external financial reporting for the health system in accordance with Generally Accepted Accounting...
-
Mishawaka, United States Affinity Executive Search Full timeJob description: JOB SUMMARY The Senior Manager Financial Accounting and Reporting is at the center of Franciscan's in-house expert team for technical accounting matters. This role's primary responsibility is for the complete, accurate, and timely production of external financial reporting for the health system in accordance with Generally Accepted...
-
Accounting Supervisor Manager
2 months ago
Mishawaka, United States Aluminum Product Manufacturer, Fabricator and Finisher Full timeJob DescriptionJob DescriptionThe Accounting Supervisor is responsible for overseeing and assisting the accounts payable and accounts receivable team at Patrick Metals plant in Mishawaka, IN. This includes establishing and maintain compliance with proper accounting controls, preparation for month end closing, verifying inventory and purchase order...
-
Accounting Supervisor Manager
3 weeks ago
Mishawaka, United States Aluminum Product Manufacturer, Fabricator and Finisher Full timeJob DescriptionJob Description The Accounting Supervisor is responsible for overseeing and assisting the accounts payable and accounts receivable team at Patrick Metals plant in Mishawaka, IN. This includes establishing and maintain compliance with proper accounting controls, preparation for month end closing, verifying inventory and purchase order...
-
Accounting Supervisor Manager
2 months ago
Mishawaka, United States Aluminum Product Manufacturer, Fabricator and Finisher Full timeJob DescriptionJob DescriptionThe Accounting Supervisor is responsible for overseeing and assisting the accounts payable and accounts receivable team at Patrick Metals plant in Mishawaka, IN. This includes establishing and maintain compliance with proper accounting controls, preparation for month end closing, verifying inventory and purchase order...
-
Food Service Coordinator Fresh Thyme
2 months ago
Mishawaka, United States Fresh Thyme Market Full timeIf youre someone who has a genuine desire to help people live better and healthier lives, join us as we work to be a trusted resource in our communities, offering real people, real food at real affordable prices across the Midwest. If you are ready to immerse yourself in an environment, that helps shoppers naturally, intuitively, and enjoyably find real,...
-
Supplier Quality Engineer I
2 months ago
Mishawaka, United States AM General LLC Full timeJob DescriptionJob DescriptionINTRODUCTION TO AM GENERALAM General develops and builds specialized ground vehicle systems that get the US Armed Services and our allies to and from their mission safely. Our innovative spirit delivers advanced, rugged, resilient, and dependable mobility solutions. We are one team dedicated to producing the best products for...
-
Registered Nurse
3 weeks ago
Mishawaka, United States Maxim Healthcare Service Full timeMaxim Healthcare in Mishawaka is hiring for a Registered Nurse to work with Pediatric and/or Adult patients in their own homes. Why Join Maxim: Competitive Pay & Weekly Paychecks Health, Dental, Vision, HSA and Life Insurance Paid Time Off 401(k) Savings Plan Maxcares Awards Program Responsibilities: Utilizes the nursing process to plan, implement,...
-
Supplier Quality Engineer II
2 months ago
Mishawaka, United States AM General LLC Full timeJob DescriptionJob DescriptionINTRODUCTION TO AM GENERALAM General develops and builds specialized ground vehicle systems that get the US Armed Services and our allies to and from their mission safely. Our innovative spirit delivers advanced, rugged, resilient, and dependable mobility solutions. We are one team dedicated to producing the best products for...
-
Master Social Worker
2 months ago
Mishawaka, United States Fresenius Medical Care Full timePURPOSE AND SCOPE:Provides psychosocial services to patients treated by the facility including in-center and home dialysis patients (if applicable) utilizing Social Work Theory of Human Behavior and accepted methods of social work practice. Works with the health care team to promote positive adjustment, rehabilitation and improved quality of life for our...
-
Master Social Worker
2 months ago
Mishawaka, United States Fresenius Medical Care Full timePURPOSE AND SCOPE:Provides psychosocial services to patients treated by the facility including in-center and home dialysis patients (if applicable) utilizing Social Work Theory of Human Behavior and accepted methods of social work practice. Works with the health care team to promote positive adjustment, rehabilitation and improved quality of life for our...
-
Restoration Project Manager
1 month ago
Mishawaka, United States Servpro Industries Inc Full timeSERVPRO of South Bend, NE/W. St. Joseph County Restoration Project Manager Do you love helping people through difficult situations? Then, don’t miss your chance to join our franchise as a new restoration project manager. As a new restoration project manager at SERVPRO of (__), you will be a part of a team of quality people who focus on excellent service,...
-
Contract Administrator
1 month ago
Mishawaka, United States The Sterling Group Full timeSterling Group is a family-owned vertically integrated real estate investment services firm started in 1976. Our organization includes development, construction, property management and investment management with a specialty in multifamily housing and self-storage facilities. Our executives are involved daily and work closely with over 375 colleagues in...
-
Supplier Quality Engineer II
2 weeks ago
Mishawaka, United States AM General Full timeINTRODUCTION TO AM GENERAL AM General develops and builds specialized ground vehicle systems that get the US Armed Services and our allies to and from their mission safely. Our innovative spirit delivers advanced, rugged, resilient, and dependable mobility solutions. We are one team dedicated to producing the best products for our customers. We have a...