Adolescent Therapy & Utilization Coordinator

Universal Health Services; San Marcos (TX); Presencial; USD 60.000 - 80.000; Jornada completa

Descripción de la vacante

Universal Health Services is seeking a Utilization Management Coordinator for its San Marcos residential treatment center in Texas. You will facilitate a continuum of service, perform daily clinical reviews, document quality and reimbursement activities, and assist with preauthorizations, appeals, and reporting.

A small caseload may be required to handle overflow. Key responsibilities include coordinating admissions and continued stays, communicating outcomes, and maintaining confidentiality

Formación

• Extensive knowledge of behavioral health systems and utilization management.
• Two years of UR experience in a hospital or healthcare insurance setting.
• Texas licensure (LPC/LMHC/LCSW/LCPC/LMSW) required.
• Ability to provide effective short term individual, group and family therapy services.

Responsabilidades

• Obtain preauthorization for admissions and continued stays within one business day.
• Manage retrospective authorizations and denials/appeals.
• Communicate preauthorization outcomes to staff and patients within one business day.
• Document activity in Billing and UR software; prepare management reports.
• Organize and file documents for quick access.
• Assist in data analysis for preauthorization and reimbursement.
• Assist hospital staff in determining insurance coverage likelihood.
• Maintain patient confidentiality per state and federal law.
• Participate in meetings, in-service education and hospital performance improvement activities.
• Incorporate service excellence and recovery skills in interactions with patients and staff.
• Provide direct behavioral healthcare services to children/adolescents in residential settings (assessments, therapy, case management, discharge planning).

Conocimientos

Behavioral health systems

Utilization review experience

Therapy skills (short-term)

Communication skills

Educación

Texas licensure: LPC/LMHC/LCSW/LCPC/LMSW

Herramientas

Billing software

UR software

Descripción del empleo

Universal Health Services is seeking a Utilization Management Coordinator for its San Marcos residential treatment center in Texas. You will facilitate a continuum of service, perform daily clinical reviews, document quality and reimbursement activities, and assist with preauthorizations, appeals, and reporting.

A small caseload may be required to handle overflow. Key responsibilities include coordinating admissions and continued stays, communicating outcomes, and maintaining confidentiality