Utilization Management Coordinator
1 week ago
About the Role:
Sierra Vista Hospital is seeking a highly skilled Utilization Management Coordinator to join our team. As a key member of our Utilization Management Department, you will play a critical role in ensuring the effective management of patient resources and maximizing the quality of care.
Responsibilities:
- Manage and review patient utilization of resources to ensure clinical appropriateness and maximize effectiveness of care.
- Function as a liaison between payors, the business office, and treatment team to provide information and feedback to assist in optimum patient care and reimbursement.
- Review and obtain authorization for services through all levels of care and aftercare review with payor sources.
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 (1) year Utilization Management experience with communication with external review organizations or comparable entities or four (4) years direct clinical experience in a psychiatric or mental health setting.
- Licensure: RN, LCSW, MFT, MSW degree, LVN/LPT or applicable license.
Additional Requirements:
- Trained in Crisis Prevention Intervention (CPI) within the first days of employment. Training provided by Sierra Vista Hospital.
Pay Transparency:
To encourage pay transparency, promote pay equity, and proactively address regulations, UHS and all our subsidiaries will comply with all applicable state or local laws or regulations which require employers to provide wage or salary range information to job applicants and employees. A posted salary range applies to the current job posting. Salary offers may be based on key factors such as education and related experience.
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