Utilization & Care Coordination Specialist

ignoredontpost; Lancaster (Lancaster County); On-site; USD 55,000 - 75,000; Full time

Benefits offered by this job

Competitive salary

Comprehensive benefits package

Tuition reimbursement

401(k) with company match

Job summary

Lancaster Behavioral Health Hospital (LBHH) is a 126-bed inpatient psychiatric facility offering general adult, adolescent, co-occurring disorders, intensive adult, and women’s trauma units. The Utilization Management Coordinator administers daily payer reviews, coordinates with clinical and operations teams, and ensures timely documentation to support continued treatment and payment.

Qualifications include a Bachelor’s degree in a psychology-related field (Masters preferred), licensure in

Qualifications

• Education: Bachelor’s degree in psych related field and/or equivalent combination of education and experience. Masters preferred.
• Licensure: Registered Nurse or Social Work, Marriage and Family, Mental Health Counseling (i.e. LPC, LMHC, LCSW, LCPC, LPCC) preferred.
• Experience: 1 to 3 years of Utilization Management preferred.

Responsibilities

• Performs timely, daily clinical reviews with all payer types to secure authorization for continued treatment based on payer criteria.
• Works with hospital operations to ensure timely documentation is aligned with patient conditions.
• Educates and guides on level of care requirements and payer expectations for patient acuity and appropriate utilization.
• Ensure that all denials are followed up weekly and documentation is detailed.
• Assures that Midas documentation is updated daily and has enough detail to ensure payment.

Education

Bachelor’s degree in psych related field or equivalent

Masters preferred

Job description

Lancaster Behavioral Health Hospital (LBHH) is a 126-bed inpatient psychiatric facility offering general adult, adolescent, co-occurring disorders, intensive adult, and women’s trauma units. The Utilization Management Coordinator administers daily payer reviews, coordinates with clinical and operations teams, and ensures timely documentation to support continued treatment and payment.

Qualifications include a Bachelor’s degree in a psychology-related field (Masters preferred), licensure in