Utilization Review Coordinator conducts utilization reviews to determine if patients are receiving care appropriate to illness or condition. Monitors patient charts and records to evaluate care concurrent with the patients treatment. Being a Utilization Review Coordinator reviews treatment plans and status of approvals from insurers. Collects and complies data as required and according to applicable policies and regulations. Additionally, Utilization Review Coordinator consults with physicians as needed. May require a bachelor's degree. Typically reports to a supervisor. Typically requires Registered Nurse(RN). The Utilization Review Coordinator contributes to moderately complex aspects of a project. Work is generally independent and collaborative in nature. To be a Utilization Review Coordinator typically requires 4 to 7 years of related experience. (Copyright 2024 Salary.com)
WHO WE ARE
Valle Vista Health System (a UHS affiliated facility) is a 132-bed, acute care psychiatric hospital located in the beautiful community of Greenwood, IN. Valle Vista Health System features individual units for children, adolescents, adults, and seniors, and offers inpatient acute care, partial hospitalization, and intensive outpatient programs. On average, over 10,000 patients receive care from our compassionate health care team each year at Valle Vista Health System. Valle Vista Health System is proud to be a teaching facility that supports local nursing students through our dedicated and tenured nursing team.
For more information, please visit our website: https://vallevistahospital.com/
POSITION SUMMARY
The UR Coordinator is responsible for managing the treatment activities offered to the patient, including the appropriate clinical screening of admissions, establishment of treatment plans, interface with the treatment team/external case managers/managed care organizations and implementation and supervision of the discharge planning.
QUALIFICATIONS
Education: Bachelor’s degree from an accredited college or university in social work, mental health or a Nursing degree is preferred.
Experience: A minimum of two (2) years direct clinical experience in a psychiatric or mental health setting. Experience in patient assessment, family motivation, treatment planning and communication with external review organizations or comparable entities.
Licensure: Must be licensed eligible in the state of Indiana or have a current license as an L.V.N., R.N., L.M.S.W. or LPC.
Additional Requirements: Complete knowledge of crisis intervention techniques.
Work Hours: Part-time Days 20 hours per week.
BENEFIT HIGHLIGHTS
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