Behavioral Health Utilization Review Coordinator (PRN)

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

Job summary

Springwoods Behavioral Health in Fayetteville, AR, seeks a dedicated Utilization Management Coordinator to oversee UM functions across the continuum of care and ensure compliance with quality standards. This role emphasizes medical records review, regulatory alignment, and advocating for appropriate treatment for residents.

You will collaborate with clinical teams, participate in program development, and contribute to financial and operational objectives while upholding the hospital’s mission

Qualifications

• Bachelor's degree in Nursing, Social Work/Counseling, Psychology or related field.
• 3–5 years of inpatient psychiatric or utilization review experience.
• 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 plans by effective management and communication.
• Serve as the internal resource on issues related to appropriate utilization of resources and coordination of care.
• Participate in program development and unit performance improvement.

Skills

Attention to detail

Communication skills

Medical records review

Regulatory knowledge

Empathy

Advocacy

Team collaboration

Education

Bachelor's degree in a related field

Job description

Springwoods Behavioral Health in Fayetteville, AR, seeks a dedicated Utilization Management Coordinator to oversee UM functions across the continuum of care and ensure compliance with quality standards. This role emphasizes medical records review, regulatory alignment, and advocating for appropriate treatment for residents.

You will collaborate with clinical teams, participate in program development, and contribute to financial and operational objectives while upholding the hospital’s mission