Behavioral Health Utilization & Case Management Coordinator

Fort Duncan Regional Medical Center; Eagle Pass (TX); On-site; USD 70,000 - 100,000; Full time

Job summary

Fort Duncan Regional Medical Center is seeking a Behavioral Health Utilization Management Case Management-Coordinator to support the utilization management process for BH services. The role coordinates authorizations, maintains payer and clinical documentation, and ensures timely reviews in line with payer requirements and organizational policies.

The position emphasizes collaboration with clinical teams, payers, and revenue cycle to assure appropriate levels of care and compliance with

Qualifications

• Bachelor's Degree in Nursing, Counseling, Psychology or Social Work.
• Acute inpatient psychiatric setting as a treatment team member and/or utilization mgmt experience preferred.

Responsibilities

• Coordinates authorization activities and utilization management for Behavioral Health services.
• Maintains payer and clinical documentation and monitors authorization timelines.
• Facilitates communication among clinical teams, payers and revenue cycle departments to ensure appropriate level of care.

Education

Bachelor's Degree: Nursing, Counseling, Psychology or Social Work

Tools

RN License

Licenses: LPC/LMHC/LCSW/LCPC/LPCC

Job description

Fort Duncan Regional Medical Center is seeking a Behavioral Health Utilization Management Case Management-Coordinator to support the utilization management process for BH services. The role coordinates authorizations, maintains payer and clinical documentation, and ensures timely reviews in line with payer requirements and organizational policies.

The position emphasizes collaboration with clinical teams, payers, and revenue cycle to assure appropriate levels of care and compliance with