UR Coordinator

Auroraarizona; Tempe (AZ); On-site; USD 65,000 - 80,000; Full time

Benefits offered by this job

401(k)

Dental insurance

Disability insurance

Employee assistance program

Employee discount

Flexible spending account

Health insurance

Life insurance

Paid time off

Vision insurance

Job summary

Aurora Behavioral Health System in Tempe, AZ is seeking an experienced UR Coordinator. This full-time role monitors adherence to the utilization review plan to ensure efficient use of hospital services and optimize reimbursement.

You will conduct reviews with payers and coordinate post-discharge follow-up to improve patient outcomes. The position requires a Bachelor's degree and experience in a psychiatric setting, with strong communication and organizational skills.

Qualifications

• Bachelor's degree required.
• Experience in a psychiatric setting and knowledge of health care service delivery systems and third party reimbursement.
• Excellent verbal and written communication skills.
• Knowledge of managed care environment; ability to apply and interpret admission and continued stay criteria.

Responsibilities

• Monitor adherence to the hospital's utilization review plan to optimize reimbursement.
• Assess appropriateness of hospital admissions and extended stays.
• Provide post-discharge follow up to improve patient outcomes and close gaps in care.
• Conduct initial, concurrent and discharge reviews with payers and act as a liaison between insurers and the clinical team.

Skills

Verbal communication

Written communication

Interpersonal skills

Time management

Organizational skills

Medical terminology

Policy interpretation

Attention to detail

Education

Bachelor's degree

Job description

Join Aurora Behavioral Health System and become a part of the state's largest free-standing behavioral health system. Our Level 1, acute care hospital located in Tempe, Arizona is licensed to treat adults and adolescents for a wide range of psychiatric conditions and chemical dependency. Our team is dedicated to the wellness of individuals, their families, and the community through prevention, intervention and treatment.

DESCRIPTION:

We are currently seeking an experienced UR Coordinator. The UR Coordinator will monitor adherence to the hospital's utilization review plan to ensure the effective and efficient use of hospital services in order to optimize reimbursement for the hospital. This position will monitor the appropriateness of hospital admissions and extended hospital stays. The UM Coordinator will improve patient outcomes and close gaps in care by providing post discharge follow up with patients. UR Coordinator will conduct initial, concurrent and discharge review with payers, effectively act as a liaison between insurance providers and the clinical team.

Requirements:

• Bachelor degree required
• Experience in a psychiatric setting and knowledge of health care service delivery systems and third party reimbursement.
• Excellent verbal and written communication skills.
• Knowledge of managed care environment; ability to apply and interpret admission and continued stay criteria.
• Understanding of admission and discharge function; familiarity with medical terminology, diagnostic terms and treatment modalities.
• Knowledge of medical record keeping; strong interpersonal, organizational, evaluative, and time management skills.
• Policy interpretation skills; familiarity with applicable standards and regulations; flexibility; attention to detail; able to comprehend psychiatric evaluations, consults, lab results, etc.
• Responsiveness to deadlines; assertiveness, persistence, and persuasiveness; able to work with minimal direction or supervision.
• Must be 21 years of age or older.
• Current negative TB test and medical clearance.
• Pass a background check, drug screen, and meet qualifications for fingerprint clearance.

Job Type: Full-time

Work Location:

• One location 6350 S Maple Ave Tempe AZ 85283

Work Remotely

• No

Benefits:

• 401(k)
• Dental insurance
• Disability insurance
• Employee assistance program
• Employee discount
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Medical Specialty:

• Psychiatry

Physical Setting:

• Inpatient

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

Education:

• Bachelor's (Required)

Experience:

• Utilization review: 1 year (Required)

• Must be able to pass a drug screen and physical
• Must be eligible for a fingerprint clearance card