Utilization Management Coordinator
3 days ago
Job Summary
Sierra Vista Hospital is seeking a skilled Utilization Management Coordinator to join our team. As a key member of our Utilization Management Department, you will play a vital role in ensuring the efficient use of resources and maximizing patient care.
Responsibilities
- Manage and review patient records to ensure clinical appropriateness and maximize effectiveness of care
- Collaborate with payors, business office, and treatment team to provide information and feedback for optimum patient care and reimbursement
- Review and obtain authorization for services through all levels of care and aftercare review
- Communicate effectively with external review organizations and other entities
Qualifications
- Master's degree in social work, mental health, or a related field or RN with prior Utilization Management and Behavioral Health experience
- A minimum of one year of Utilization Management experience or four years of direct clinical experience in a psychiatric or mental health setting
- Licensure: RN, LCSW, MFT, MSW degree, LVN/LPT or applicable license
Additional Requirements
- Training in Crisis Prevention Intervention (CPI) within the first 30 days of employment
- Pay Transparency: UHS and all subsidiaries comply with applicable state or local laws or regulations requiring wage or salary range information
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