Behavioral Health Utilization Manager (RN)

Universal Health Services, Inc.; Eagle Pass (TX); In loco; USD 80.000 - 100.000; Tempo pieno

Descrizione del lavoro

Universal Health Services, Inc. is seeking a Behavioral Health Utilization Management Case Management-Coordinator to support the UM process for BH services.

The role coordinates authorization activities, maintains payer and clinical documentation, and ensures timely reviews and proper level of care per payer requirements and regulations. The ideal candidate is a Registered Nurse with inpatient psychiatric experience or utilization management exposure; collaboration with clinical teams, payers,

Competenze

• Bachelor's Degree in Nursing, Counseling, Psychology or Social Work.
• Acute inpatient psychiatric setting experience preferred.

Mansioni

• Coordinate authorization activities for BH services.
• Maintain payer and clinical documentation with accuracy.
• Monitor authorization timelines to ensure timely reviews.
• Facilitate communication among clinical teams, payers and revenue cycle departments.
• Ensure services are provided at the appropriate level of care per payer requirements and regulatory standards.

Formazione

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

Descrizione del lavoro

Universal Health Services, Inc. is seeking a Behavioral Health Utilization Management Case Management-Coordinator to support the UM process for BH services.

The role coordinates authorization activities, maintains payer and clinical documentation, and ensures timely reviews and proper level of care per payer requirements and regulations. The ideal candidate is a Registered Nurse with inpatient psychiatric experience or utilization management exposure; collaboration with clinical teams, payers,