Strategic Utilization Coordinator - Behavioral Health

Dover Behavioral Health System; Dover (DE); On-site; USD 60,000 - 80,000; Full time

Job summary

Dover Behavioral Health System is a 104-bed acute care psychiatric hospital located in Dover, Delaware. The Utilization Management Coordinator will monitor utilization of continuum services and optimize reimbursement to support patient care efficiency.

The role requires at least 1 year of case management or hospital experience, with MSW/MS in mental health or RN license. Strong communication, coordination with insurers, and accurate documentation are essential for success.

Qualifications

• MSW/MS in mental health or RN license required.
• Minimum 1 year in case management or hospital setting.
• Strong communication and documentation skills.

Responsibilities

• Conduct admission reviews with Assessment and Referral Services.
• Perform concurrent and extended stay reviews as needed.
• Prepare and submit appeals to third-party payors with data support.
• Ensure timely discharge communication to insurers within 24 hours.

Skills

Case management

Hospital experience

Education

MSW or MS in mental health field

Registered Nursing License

Job description

Dover Behavioral Health System is a 104-bed acute care psychiatric hospital located in Dover, Delaware. The Utilization Management Coordinator will monitor utilization of continuum services and optimize reimbursement to support patient care efficiency.

The role requires at least 1 year of case management or hospital experience, with MSW/MS in mental health or RN license. Strong communication, coordination with insurers, and accurate documentation are essential for success.