Impactful Utilization Review Coordinator (RN or MSW)

Cumberland Hall Hospital; Hopkinsville (KY); On-site; USD 60,000 - 80,000; Full time

Benefits offered by this job

Competitive Compensation

Generous Paid Time Off

Excellent Medical, Dental, Vision Plans

401(k) with company match

Career development opportunities

Job summary

Cumberland Hall Hospital in Hopkinsville, KY, is seeking a Utilization Review Coordinator to evaluate and coordinate patient care services. This role is critical in ensuring compliance with insurance policies while maintaining quality patient care.

The ideal candidate will hold a master's degree in social work or be a licensed RN with at least two years of psychiatric experience. The position offers competitive compensation and generous benefits, including medical, dental, and a 401(k) with company match.

Qualifications

• Minimum two years psychiatric experience with knowledge of psychotropic medications.
• Current nursing license to practice in Kentucky or master’s degree in social work.

Responsibilities

• Evaluate and coordinate patient care services to ensure medical necessity.
• Obtain and maintain insurance authorizations and approvals.
• Communicate with payers regarding clinical information.
• Assist with denial management, appeals, and peer reviews.

Skills

Psychiatric knowledge

Insurance authorization

Communication

Utilization review

Education

Masters in Social Work or Registered Nurse

Job description

Cumberland Hall Hospital in Hopkinsville, KY, is seeking a Utilization Review Coordinator to evaluate and coordinate patient care services. This role is critical in ensuring compliance with insurance policies while maintaining quality patient care.

The ideal candidate will hold a master's degree in social work or be a licensed RN with at least two years of psychiatric experience. The position offers competitive compensation and generous benefits, including medical, dental, and a 401(k) with company match.