Utilization Management Coordinator — Impactful Mental Health Care

Ridgeview Institute - Monroe; Monroe (GA); On-site; USD 34,000 - 39,000; Full time

Benefits offered by this job

401(k) + matching

Health insurance

Life insurance (2x salary)

Vision insurance

Dental insurance

Short/long-term disability insurance

Paid time off

Paid Holidays

Employee engagement events

Employee recognition program

Free parking

Job summary

Ridgeview Institute Monroe is seeking a dedicated Utilization Management Coordinator (UM) to support a multidisciplinary treatment team. The role focuses on coordinating care across age groups, reviewing treatment plans, and ensuring appropriate utilization of services to optimize patient outcomes.

You will maintain communication with physicians and nurses, track insurance reviews, and document activities to support safe transfers and timely discharges.

Qualifications

• Two (2) years of healthcare or managed care experience.
• Experience with patient assessment, treatment planning, utilization management, or case management.
• Degree preferred in social work, mental health, nursing, or related field.

Responsibilities

• Review treatment plans and advocate for additional services as indicated.
• Promote efficient resource use for patients.
• Ensure patient rights are upheld throughout care.
• Maintain ongoing contact with attending physician, program manager, and nursing staff.
• Collaborate on discharge planning and continued stay decisions.
• Advocate appropriate level of care and program placement.
• Coordinate with program staff for transfers or discharges.
• Document case management activities diligently.
• Track insurance reviews and ensure timely completion.
• Prepare and maintain statistical reports and findings.

Skills

Case management

Utilization management

Patient assessment

Treatment planning

Education

Bachelor’s or Master’s degree in social work/mental health/nursing

Job description

Ridgeview Institute Monroe is seeking a dedicated Utilization Management Coordinator (UM) to support a multidisciplinary treatment team. The role focuses on coordinating care across age groups, reviewing treatment plans, and ensuring appropriate utilization of services to optimize patient outcomes.

You will maintain communication with physicians and nurses, track insurance reviews, and document activities to support safe transfers and timely discharges.