Inpatient Behavioral Health Utilization Coordinator

Universal Health Services Inc.; Dover (DE); On-site; USD 65,000 - 85,000; Full time

Job summary

Dover Behavioral Health System is a 104-bed, acute care psychiatric hospital in the Dover, Delaware area. It provides inpatient acute care, partial hospitalization, and intensive outpatient programs, serving over 10,000 patients annually with a compassionate health care team.

The opportunity seeks a Full-Time Utilization Management Coordinator to monitor utilization of continuum services and optimize reimbursement.

Qualifications

• MSW or MS in a recognized mental health field or an RN license.
• One year experience in case management or hospital setting.
• Preferred: one year of Utilization Management experience at a long-term care facility.

Responsibilities

• Conduct admission reviews with Assessment and Referral Services to ensure up-to-date admissions information.
• Perform concurrent and extended stay reviews at appropriate intervals.
• Prepare and submit appeals to third-party payors, collecting necessary data for hospital and patient support.
• Disseminate discharge information to insurance companies within 24 hours and maintain updated logs for the Utilization Review department.

Skills

Case management

Hospital experience

Education

MSW or MS in mental health

RN license

Job description

Dover Behavioral Health System is a 104-bed, acute care psychiatric hospital in the Dover, Delaware area. It provides inpatient acute care, partial hospitalization, and intensive outpatient programs, serving over 10,000 patients annually with a compassionate health care team.

The opportunity seeks a Full-Time Utilization Management Coordinator to monitor utilization of continuum services and optimize reimbursement.