Regional Utilization Management Coordinator

Oceans Healthcare, L.L.C.; Lafayette (LA); On-site; USD 55,000 - 85,000; Full time

Job summary

Oceans Healthcare, L.L.C. in Lafayette, LA is seeking a Regional Utilization Management Coordinator to supervise utilization review and case management across assigned inpatient facilities, including potential partial hospitalization and outpatient programs.

The role focuses on conducting concurrent chart reviews to confirm admission criteria, document level of care, and support timely discharge planning, while coordinating information between third party payers and medical staff.

Qualifications

• Experience with utilization review and case management in inpatient settings.
• Familiarity with Joint Commission, Federal and State regulations.
• Ability to coordinate payer communications and discharge planning.

Responsibilities

• Identify and report use patterns to ensure high quality patient care in the least restrictive, cost-effective settings.
• Review inpatient, IOP/partial hospitalization, and outpatient records for appropriateness, timeliness, and clinical necessity of admission, continued stay, and discharge.
• Notify staff of deficiencies and take corrective actions in a timely manner; submit monthly reports with findings.
• Coordinate flow of communication between physicians, staff and third-party payers regarding reimbursement requirements.
• Attend mini-treatment team and morning status meetings to gather third-party payer data for pre-certification and ongoing certification.
• Maintain abstracts with updates provided to third-party payers and respond to documentation requests.

Job description

The Regional Utilization Management Coordinator is responsible for management of all utilization review and/or case management activities at the assigned inpatient facilities. May include partial hospitalization, and/or outpatient programs. Conducts concurrent reviews of all medical records to ensure criteria for admission and continued stay are met and documented, and to ensure timely discharge planning. Coordinates information between third party payers and medical/clinical staff members. Interacts with members of the medical/clinical team to provide a flow of communication and a medical record which documents and supports level and intensity of service rendered. All duties to be done in accordance with Joint Commission, Federal and State regulations, Oceans' Mission, policies and procedures and Performance Improvement Standards.

Essential Functions:

1. Identifies and reports appropriate use, under-use, over-use and inefficient use of services and resources to ensure high quality patient care is provided in the least restrictive environment and in a cost-effective manner.
2. Conducts review of all inpatient, IOP/partial hospitalization, and outpatient records as outlined in the Utilization Review/Case Management plan to (1) determine appropriateness and clinical necessity of admissions, continued stay, and or rehabilitation, and discharge; (2) determine timeliness of assessments and evaluations; i.e. H&Ps, psychiatric evaluation, CIA formulation, and discharge summaries; and (3) identify any under-, over-, and/or inefficient use of services or resources.
3. Reports findings to appropriate disciplines and/or committees; notifies appropriate staff members of any deficiencies noted so corrective actions can be taken in a timely manner; submits monthly report to UM Director or PI Coordinator of findings and actions recommended to correct identified problems.
4. Coordinates flow of communication between physicians/staff and third-party payers concerning reimbursement requisites
5. Attends mini-treatment team and morning status meetings each weekday to obtain third-party payer pre-certification and ongoing certification requirements and to share with those attending any pertinent data from third-party payer contracts.
6. Attends weekly treatment team.
7. Conducts reviews via telephone, fax or through payer portals and follows through with documentation requests from third party payers.
8. Maintains abstract with updates provided to third party payers.
9. Notifies physicians/staff/patients of reimbursement issues.
10. Initiates and completes appeals process for reimbursement denials; notifies inpatients of denials received.
11. Reports monthly all Hospital Issued Notices of Non-coverage (HINN letter) to QIO.
12. Conducts special retrospective studies/audits when need is determined by M&PS and /or other committee structure.
13. Ensures all authorization and denied information is in HCS at the end of each business day.
14. Performs other duties and projects as assigned.