Part-Time Utilization Review Coordinator

Socket.dev

Titusville (FL)

On-site

USD 34,000 - 47,000

Part time

2 days ago
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Benefits offered by this job

Competitive compensation
Generous Paid Time Off
Excellent medical/dental/vision
401(K) with company match
SoFi student loan refinancing
Tuition savings for nursing education
Career development opportunities
Pet insurance

Job summary

Palm Point Behavioral Health, affiliated with Universal Health Services, is recruiting a Part Time Utilization Review Coordinator in Titusville, FL. The UR Coordinator monitors documentation and utilization of services for inpatients and outpatients, coordinating third-party authorization and treatment planning.

Responsibilities include reviewing medical records, submitting pre-certifications, tracking authorizations in Midas and MS4, and communicating with treatment teams and insurers to

Qualifications

  • Education: Associate Degree in Nursing or Bachelor's Degree in social work, mental health or related field from accredited college or university required.
  • Minimum of two years’ experience in health care case management or utilization review, psychiatric or mental health setting required.

Responsibilities

  • Review clinical content of medical records, participate in treatment team meetings, and collaborate with physicians, therapists, nurses and pertinent staff to gather data for insurance/authorizing entities.
  • Input pre-certifications and continued stay reviews into Midas, follow up on unfinished items, verify insurance coverage, and post patient payments into MS4.
  • Attend treatment teams and communicate documentation and verbal updates to support treatment planning and authorization requests.

Skills

Case management
Utilization review
Interdisciplinary collaboration
Communication with insurers

Education

Associate or Bachelor's degree

Tools

Midas
MS4

Job description

Palm Point Behavioral Health, affiliated with Universal Health Services, is recruiting a Part Time Utilization Review Coordinator in Titusville, FL. The UR Coordinator monitors documentation and utilization of services for inpatients and outpatients, coordinating third-party authorization and treatment planning.

Responsibilities include reviewing medical records, submitting pre-certifications, tracking authorizations in Midas and MS4, and communicating with treatment teams and insurers to

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