PT UTILIZATION REVIEW COORDINATOR

River Point Behavioral Health; Jacksonville (FL); On-site; USD 35,817 - 50,971; Full time

Benefits offered by this job

Competitive Compensation

401(K) with company match and discount

Career development opportunities

SoFi Student Loan Refinancing Program

Benefits Guest Website

Job summary

River Point Behavioral Health in Jacksonville, FL, is seeking an Utilization Review Coordinator to monitor treatment activities and interface with the treatment team, managed care organizations, and referring professionals to ensure quality patient care. The role covers both inpatient and outpatient services and includes completing concurrent reviews and appeals with follow-up until final decisions.

Ideal candidates are RN, LPN, or MSW with Utilization Management experience, strong verbal and

Qualifications

• Excellent verbal and written communication skills are essential.
• Able to monitor and evaluate records for quality and appropriateness of care.
• Knowledge of regulatory and reimbursement requirements.
• Basic computer skills are required.

Responsibilities

• Monitor treatment activities to ensure quality patient care.
• Interface with treatment team and managed care organizations.
• Complete concurrent reviews for mental health and dual diagnosis patients (inpatient and outpatient).
• Complete appeals and follow up until final decision is determined.

Skills

Communication skills

Utilization Management

Regulatory knowledge

Quality monitoring

Education

RN

LPN

MSW (Master’s level)

Job description

Responsibilities

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

Benefits

• 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.