Behavioral Health Utilization and Care Coordinator

Universal Health Services

Winston-Salem (NC)

On-site

USD 55,000 - 75,000

Full time

7 days ago
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Benefits offered by this job

Career growth
Diversity programs
Online learning
Competitive pay
Benefits package
401(k) with match
Student loan refinancing
Tuition assistance

Job summary

Universal Health Services seeks an Utilization Management Coordinator to evaluate patient records and determine level of care within a behavioral health setting. You will act as a liaison to insurance companies and advocate for appropriate lengths of stay.

The role requires a master’s degree in counseling, social work, or related field, plus licensure (LCSW/LCMHC/LMFT) and 5 years in behavioral health; utilization management experience is preferred.

Qualifications

  • Master's degree in counseling, social work, or related field.
  • Five years experience in behavioral health.
  • Licensed professional (LCSW, LCMHC, or LMFT).
  • Experience in utilization management within behavioral health strongly preferred.

Responsibilities

  • Evaluates patient medical records to determine severity of illness and appropriateness of level of care.
  • Serves as liaison for patients and hospital with insurance companies.
  • Negotiates and advocates for patient length of stay and level of care.
  • Participates in the patient discharge process through Treatment Team meeting attendance.

Education

Master's degree in counseling, social work, or related field

Job description

Universal Health Services seeks an Utilization Management Coordinator to evaluate patient records and determine level of care within a behavioral health setting. You will act as a liaison to insurance companies and advocate for appropriate lengths of stay.

The role requires a master’s degree in counseling, social work, or related field, plus licensure (LCSW/LCMHC/LMFT) and 5 years in behavioral health; utilization management experience is preferred.

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