Utilization Review Coordinator

4 days ago


Worcester, Massachusetts, United States Hospital for Behavioral Medicine Full time
About the Role

We are seeking a highly skilled and compassionate Utilization Review Coordinator to join our team at Hospital for Behavioral Medicine. As a key member of our healthcare team, you will play a critical role in ensuring that our patients receive the highest quality care and services.

Key Responsibilities
  • Conduct thorough reviews of patient treatment plans to ensure that they are aligned with insurance company requirements and guidelines.
  • Communicate with external case managers and managed care organizations to obtain certification and recertification of insurance benefits.
  • Collaborate with the treatment team to understand the patient's treatment plan and ensure that it is being implemented effectively.
  • Advocate for patients' access to services and ensure that their rights are upheld.
  • Chair treatment team meetings and continued stay reviews as indicated.
  • Review assessment information and provide feedback to the attending physician and treatment team members.
  • Communicate with external reviewers and referral sources to ensure that patients receive the necessary care and services.
  • Ensure that third-party payers are notified of decisions regarding transitions between levels of care.
Requirements
  • Bachelor's degree in nursing or Master's degree in social work, mental health, or a related field.
  • Minimum of two years of experience in a behavioral healthcare setting or managed care company, with experience in patient assessment, treatment planning, utilization management, and/or case management.
What We Offer
  • Competitive salary range of $62,400 - $93,600 annually.
  • 401(k) + matching.
  • Health insurance.
  • 100% company-paid life insurance coverage up to 2x annual salary.
  • Vision insurance.
  • Dental insurance.
  • 100% company-paid long-term disability insurance.
  • Paid time off.
  • Paid holidays.
  • Cafeteria on site + discounted meals.
  • Employee engagement events.
  • Employee assistance program.
  • Employee recognition program.
  • Free parking.
About Us

Hospital for Behavioral Medicine is a leading provider of exceptional therapeutic care, prioritizing patient comfort and safety. We are committed to accessible care and 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.



  • Worcester, Massachusetts, United States Hospital for Behavioral Medicine Full time

    About the RoleWe are seeking a highly skilled Utilization Review Coordinator to join our team at Hospital for Behavioral Medicine. As a key member of our healthcare team, you will play a critical role in ensuring that our patients receive the best possible care.Key ResponsibilitiesCase Management: Review patient treatment plans and advocate for additional...


  • Worcester, Massachusetts, United States Hospital for Behavioral Medicine Full time

    About the RoleWe are seeking a highly skilled Utilization Review Coordinator to join our team at Hospital for Behavioral Medicine. As a key member of our healthcare team, you will play a critical role in ensuring that our patients receive the best possible care.Key ResponsibilitiesCase Management: Review patient treatment plans and advocate for additional...


  • Worcester, Massachusetts, United States UHS Full time

    About the RoleArbour Counseling Services, a subsidiary of Universal Health Services, is seeking a skilled Utilization Review Coordinator to join our team in Worcester, MA. As a key member of our Partial Hospitalization Program, you will play a critical role in promoting a therapeutic, safe, and supportive environment for our clients.Key...


  • Worcester, Massachusetts, United States Hospital for Behavioral Medicine Full time

    About the RoleWe are seeking a highly skilled Clinical Utilization Review Specialist to join our team at Hospital for Behavioral Medicine. As a key member of our clinical team, you will be responsible for ensuring that our patients receive the most effective and efficient care possible.Key ResponsibilitiesCase Management: Develop and implement individualized...


  • Worcester, Massachusetts, United States UHS Full time

    About the RoleArbour Counseling Services, a subsidiary of Universal Health Services, is seeking a skilled Utilization Review Coordinator to join our team in Worcester, MA. As a key member of our Partial Hospitalization Program, you will play a critical role in promoting a therapeutic, safe, and supportive environment for our clients.Key...


  • Worcester, Massachusetts, United States Hospital for Behavioral Medicine Full time

    About the RoleWe are seeking a highly skilled Clinical Utilization Review Specialist to join our team at Hospital for Behavioral Medicine. As a key member of our clinical team, you will play a critical role in ensuring that our patients receive the highest level of care and that our utilization review processes are efficient and effective.Key...


  • Worcester, Massachusetts, United States UMass Memorial Health Care Full time

    About the RoleUMass Memorial Health Care is seeking a skilled Care Coordinator/Care Manager to join our team. As a key member of our care coordination team, you will play a vital role in ensuring seamless transitions of care for our patients.Key ResponsibilitiesPerform comprehensive assessments of patients' physical, functional, and psycho-social needs to...

  • Stroke Coordinator

    13 hours ago


    Worcester, Massachusetts, United States HealthEcareers - Client Full time

    Job DescriptionHealthEcareers - Client is seeking a highly skilled and experienced Stroke Coordinator to join our team. As a Stroke Coordinator, you will play a critical role in facilitating and coordinating the Key Elements of the Stroke Certification process, including development and review of protocols, initial and ongoing training, performance...


  • Worcester, Massachusetts, United States Bear Mountain at Worcester Full time

    Bear Mountain at Worcester - Are you seeking a fulfilling career in a supportive and positive environment? Bear Mountain Healthcare presents an exciting opportunity for you.We are currently in search of a Social Service Director to join our skilled nursing facility. At Bear Mountain Healthcare, we pride ourselves on providing a family-oriented atmosphere for...


  • Worcester, Massachusetts, United States Seven Hills Foundation Full time

    Job Summary:The Seven Hills Foundation is seeking a highly organized and detail-oriented Human Resources Coordinator to facilitate HR processes at all locations and provide an exceptional onboarding experience for new employees.Key Responsibilities:Ensure complete and accurate data entry for the Human Resources Department.Maintain personnel files, both...


  • Worcester, Massachusetts, United States VetJobs Full time

    Job SummaryVetJobs is seeking a highly organized and detail-oriented Administrative Assistant to join our team. As a key member of our Quality Assurance department, you will be responsible for providing administrative support to our team, ensuring seamless day-to-day operations.Key Responsibilities:Provide general administrative support, including calendar...


  • Worcester, Massachusetts, United States KYYBA Full time

    Job OverviewAt Kyyba, we are seeking a highly skilled and experienced Administrative Coordinator to provide advanced support to our executive team. This is a unique opportunity to join a dynamic and growing organization and contribute to our success.Key ResponsibilitiesProvide administrative support to senior executives, including coordinating schedules,...


  • Worcester, Massachusetts, United States UMass Med School Full time

    Job SummaryWe are seeking a highly skilled and experienced Administrative Assistant III to join our team at UMass Med School. The successful candidate will provide advanced level administrative support to our department, coordinating and performing a full range of complex administrative duties independently with minimal direction.Key ResponsibilitiesPlan and...


  • Worcester, Massachusetts, United States UMass Med School Full time

    Job SummaryWe are seeking a highly skilled and experienced Administrative Assistant III to join our team at UMass Med School. The successful candidate will provide advanced level administrative support to our department, coordinating and performing a full range of complex administrative duties independently with minimal direction.Key ResponsibilitiesPlan and...


  • Worcester, Massachusetts, United States Worcester Polytechnic Institute Full time

    JOB TITLE Grants and Contracts Administrator LOCATION Worcester DEPARTMENT NAME Office of Sponsored Programs DIVISION NAME Worcester Polytechnic Institute - WPI JOB DESCRIPTION SUMMARY The Grants and Contracts Administrator plays a crucial role within the Office of Sponsored Programs, overseeing the administrative management of sponsored research awards at...


  • Worcester, Massachusetts, United States Commonwealth Electrical Technologies Full time

    Commonwealth Electrical Technologies is looking for a dedicated full-time Construction Operations Coordinator to excel in a dynamic office environment and deliver proactive and thorough support. Ideal candidates should exhibit exceptional organizational abilities, meticulous attention to detail, and effective communication skills, demonstrating a proactive...


  • Worcester, Massachusetts, United States The Davis Companies Full time

    Job SummaryThe Davis Companies is seeking a highly organized and detail-oriented Administrative Assistant to provide critical support to our insurance team. As a key member of our team, you will be responsible for ensuring the smooth operation of our day-to-day activities, allowing our team to focus on serving clients.Key ResponsibilitiesDocument Management:...


  • Worcester, Massachusetts, United States The Davis Companies Full time

    Job SummaryWe are seeking a highly organized and detail-oriented Administrative Assistant to provide critical support to our insurance team at The Davis Companies. This role will be instrumental in ensuring efficient day-to-day operations, allowing our team to focus on delivering exceptional client service.Key ResponsibilitiesDocument Management: Organize,...


  • Worcester, Massachusetts, United States Select Source International Full time

    Job OverviewSelect Source International is seeking a highly skilled and experienced Administrative Assistant to provide advanced support to our executive team. As a key member of our team, you will be responsible for coordinating and maintaining departmental files, scheduling meetings and travel arrangements, and providing exceptional customer service.Key...


  • Worcester, Massachusetts, United States Worcester Polytechnic Institute Full time

    JOB TITLE Grants and Contracts Administrator LOCATION Worcester DEPARTMENT NAME Office of Sponsored Programs DIVISION NAME Worcester Polytechnic Institute - WPI SUMMARY OF POSITION The Grants and Contracts Administrator plays a pivotal role within the Office of Sponsored Programs, overseeing the administrative aspects of sponsored research awards at WPI....