PRN Utilization Review Coordinator — Make an Impact
The Menninger Clinic
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Job summary
The Menninger Clinic in Houston, TX seeks a PRN Utilization Management professional to support daily operations with insurance reviews and documentation. You will collaborate with treatment teams, coordinate certifications, and ensure proper authorization workflows as part of discharge planning.
Requires a Master’s degree in a clinical field and licensure (LPC/LMSW/RN/LCSW) with 3+ years in healthcare and at least 1 year in insurance reviews.
Qualifications
- Master’s degree and licensure in a clinical discipline or equivalent UR experience.
- Licenses: LPC, LMSW, RN, or LCSW.
- Three years’ health care experience; at least one year in insurance reviews.
- Proficient with computers, calculators, phones, fax machines and copiers.
- Basic knowledge of Microsoft Office and health insurance regulations; DSM IV-TR knowledge.
Responsibilities
- Perform internal and external record reviews for daily department operations.
- Cooperate with Admissions to complete certifications and document outcomes.
- Conduct concurrent utilization reviews with payers and document results.
- Obtain and communicate authorizations for services not covered under per diems.
- Maintain ethical and thorough charting across reviews.
- Assist in surveys for regulatory agencies and payers.
Skills
Education
Tools
Job description
The Menninger Clinic in Houston, TX seeks a PRN Utilization Management professional to support daily operations with insurance reviews and documentation. You will collaborate with treatment teams, coordinate certifications, and ensure proper authorization workflows as part of discharge planning.
Requires a Master’s degree in a clinical field and licensure (LPC/LMSW/RN/LCSW) with 3+ years in healthcare and at least 1 year in insurance reviews.
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