Care Coordination & Utilization Specialist I

SUN Behavioral Kentucky; Erlanger (KY); On-site; USD 65,000 - 85,000; Part time

Job summary

Compliance with HIPAA, safety standards, and performance improvement activities are integral, with a focus on accurate documentation and team collaboration in a hospital setting.

Qualifications

• High school diploma or GED; CPR and hospital de-escalation certification required.
• One year of experience in a behavioral healthcare setting.
• May substitute education for experience.
• CPR and de-escalation training preferred.

Responsibilities

• Coordinate case management and assist with admissions through discharge.
• Document in EMR and prepare materials for daily meetings.
• Liaise with managed care and payors for peer reviews and appeals.
• Maintain continuity of care and participate in performance improvement.
• Ensure safety and HIPAA/privacy compliance.

Skills

Case management

Documentation

Communication

HIPAA compliance

Interpersonal skills

Education

High School or GED

CPR certification

De-escalation training

Associates or Bachelors degree (preferred)

Tools

EMR

Job description

Compliance with HIPAA, safety standards, and performance improvement activities are integral, with a focus on accurate documentation and team collaboration in a hospital setting.