Behavioral Health Utilization Review Coordinator

Clive Behavioral; Fayetteville (AR); On-site; USD 52,000 - 76,000; Full time

Job summary

Universal Health Services in Fayetteville, AR seeks a PRN Utilization Review Coordinator to oversee clinical, financial, and utilization aspects of care. The role requires reviewing medical records, coordinating across the continuum, and ensuring adherence to quality standards within a behavioral health setting.

Responsibilities include implementing UM processes, supporting program development, and advancing performance improvement while reflecting the organization’s core values and commitment

Qualifications

• Bachelor's degree in a related field (e.g., Nursing, Social Work/Counseling, Psychology).
• Three to five years work related experience in inpatient psychiatric settings or utilization review.
• Strong knowledge of medical records review processes and utilization standards.
• Familiarity with federal, state, and county regulations pertaining to patient care.
• Excellent attention to detail and the ability to analyze complex information.
• Effective communication skills for advocating on behalf of residents and collaborating with medical providers.
• Compassionate and empathetic approach when dealing with patients and their treatment needs.

Responsibilities

• Coordinate design, development, implementation, and monitoring of utilization review functions.
• Achieve goals of clinical, financial and utilization as set forth in the UM plan through effective management and communication.
• Serve as internal resource on issues related to appropriate utilization of resources and coordination of care.
• Contribute to program development and unit performance improvement; align with organization values.

Education

Bachelor's degree in related field

Job description

Universal Health Services in Fayetteville, AR seeks a PRN Utilization Review Coordinator to oversee clinical, financial, and utilization aspects of care. The role requires reviewing medical records, coordinating across the continuum, and ensuring adherence to quality standards within a behavioral health setting.

Responsibilities include implementing UM processes, supporting program development, and advancing performance improvement while reflecting the organization’s core values and commitment