Healthcare Utilization Review Specialist

Universal Hospital Services Inc.

El Paso (TX)

On-site

USD 60,000 - 85,000

Full time

14 days+
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Benefits offered by this job

Career development
Tuition reimbursement
Student loan repayment
Medical, dental, vision and Rx plan
401K with company match
Paid time off
Life insurance

Job summary

El Paso Behavioral Health System is seeking a UR Coordinator to coordinate certification and recertification of insurance benefits during the patient’s stay and support the treatment team in discharge planning. You will work closely with external case managers and managed care organizations to ensure continued stay approvals and to understand payer requirements.

The role requires a Bachelor’s or Master’s degree in social work, mental health, nursing, or a related field, with at least two years

Qualifications

  • Education: Bachelor's or Master’s degree from an accredited college or university in social work, mental health, nursing, or related degree preferred.

Responsibilities

  • UR Coordinator contacts external case managers/managed care organizations for certification and recertification of insurance benefits throughout the patient’s stay and assists the treatment team in understanding the insurance company’s requirements for continued stay and discharge planning.
  • The UR Coordinator is responsible for having a thorough understanding of the patient’s treatment through communication with the treatment team.

Education

Bachelor's or Master’s degree in social work, mental health, nursing, or related field preferred

Job description

El Paso Behavioral Health System is seeking a UR Coordinator to coordinate certification and recertification of insurance benefits during the patient’s stay and support the treatment team in discharge planning. You will work closely with external case managers and managed care organizations to ensure continued stay approvals and to understand payer requirements.

The role requires a Bachelor’s or Master’s degree in social work, mental health, nursing, or a related field, with at least two years

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