PT UTILIZATION REVIEW COORDINATOR

Riverpointbehavioral; Jacksonville (FL); On-site; USD 35,817 - 50,971; Part time

Benefits offered by this job

Competitive Compensation

401(K) with company match

Job summary

Riverpointbehavioral is seeking a part-time Utilization Review Coordinator to oversee patient care activities, including weekend shifts. You will interface with treatment teams, managed care organizations, and referring professionals to ensure quality care and continuity of treatment.

The role involves concurrent reviews for mental health and dual diagnosis patients across inpatient and outpatient settings, plus appeals processing and documentation with strong communication across disciplines.

Qualifications

• RN/LPN or MSW with utilization management experience.
• Strong verbal and written communication skills.
• Ability to work independently and with diverse clinical teams.
• Knowledge of regulatory and reimbursement requirements.
• Basic computer skills.

Responsibilities

• Monitor treatment activities for patients and interface with treatment teams and payers for quality care.
• Collaborate with referring professionals for continuity of care.
• Complete concurrent reviews for mental health and dual diagnosis in inpatient and outpatient settings.
• Complete appeals and follow up until final decision.
• Maintain effective communication with physicians, treatment teams and coworkers.

Skills

Utilization management

Communication skills

Independent work

Regulatory knowledge

Computer skills

Education

Registered Nurse

LPN

Master’s level Social Worker

Job description

Responsibilities

We are pleased to announce the following available position: PT Utilization Review Coordinator, including weekends $26-$37.

This position is responsible for monitoring the treatment activities offered to the patient, interfacing with the treatment team/managed care organizations to ensure quality patient care and collaborating with referring professionals for continuity of care.
Complete concurrent reviews for mental health and dual diagnosis patients for both inpatient and outpatient services.
Complete appeals and follow up on all appeals until a final decision is determined.
Must have effective communication skills with treatment team members, physician’s and co-workers throughout the hospital.

Qualifications

Registered Nurse, LPN or Master’s level Social Worker with experience in Utilization Management, preferred.
Good communication (verbal and written) skills are essential.
Able to work independently and collegially with all clinical disciplines.
Has knowledge of regulatory and reimbursement requirements.
Able to monitor and evaluate records for quality and appropriateness of care.
Has basic computer skills.

• Challenging and rewarding work environment
• Competitive Compensation
• 401(K) with company match and discounted stock plan
• Career development opportunities within UHS and its 300+ Subsidiaries!
• SoFi Student Loan Refinancing Program
• More information is available on our Benefits Guest Website: benefits.uhsguest.com

EEO Statement

All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.

We believe that diversity and inclusion among our teammates is critical to our success.