Utilization Review Coordinator

5 days ago


Phoenix, Arizona, United States NeuroPsychiatric Hospitals Full time
About Us:

Healing the Body and Mind:
NeuroPsychiatric Hospital is a leading healthcare provider with a unique approach to neuropsychiatric and complex medical care. Founded 15 years ago, we have established ourselves as the largest hospital system in the nation, serving patients with both neurological and medical needs.

Our Mission:
We strive to provide unrivaled quality care to our patients through an interdisciplinary focus and multi-specialty approach. Our facilities are designed to cater to a population that has previously been underserved, and we are committed to making a positive impact on their lives.

Overview:
We are seeking a skilled Utilization Review Coordinator to join our team. This role will involve coordinating patient services across the continuum of care, promoting effective utilization, and monitoring health resources. The ideal candidate will have strong knowledge of medications, exceptional time management, data entry, and communication skills.

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 CONs/RONs and CMS certifications are completed by provider.

Requirements:
  • An undergraduate or graduate degree in behavioral health or a Registered Nurse (RN).
  • QMA, CMA, CCM, ACM, or MA (preferred).

What We Offer:
  • 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.


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