Utilization Management Coordinator: Mental Health Advocate

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 coverage

Vision insurance

Dental insurance

Short/long-term disability insurance

Paid time off

Paid Holidays

Parking

Job summary

Ridgeview Institute Monroe in Monroe, GA is seeking an experienced Utilization Management Coordinator (UM) to support our mental health treatment team. The UM will review treatment plans, advocate for services, and ensure appropriate levels of care while coordinating with physicians and program staff to facilitate transfers and discharge planning.

The role requires a minimum of two years in healthcare or managed care, with education of a 2-year degree or higher.

Qualifications

• Minimum two years’ experience in a healthcare setting or managed care.
• Experience with patient assessment, treatment planning, utilization management, and/or case management.

Responsibilities

• Review the treatment plan and advocate for additional services as indicated.
• Promote effective use of resources for patients.
• Ensure that patient rights are upheld.
• Maintain ongoing contact with the attending physician, program manager, nurse manager, and team members.
• Collaborate with the treatment team regarding continued stay and discharge planning issues.
• Advocate that the patient is placed in the appropriate level of care and program.
• Interface with program staff to facilitate smooth transfer or discharge.
• Maintain documentation related to case management activities.
• Ensure insurance reviews are tracked and completed in a timely manner.
• Maintain statistical reports and document significant findings.

Skills

Healthcare experience

Patient assessment

Treatment planning

Utilization management

Education

2 Year Degree

Job description

Ridgeview Institute Monroe in Monroe, GA is seeking an experienced Utilization Management Coordinator (UM) to support our mental health treatment team. The UM will review treatment plans, advocate for services, and ensure appropriate levels of care while coordinating with physicians and program staff to facilitate transfers and discharge planning.

The role requires a minimum of two years in healthcare or managed care, with education of a 2-year degree or higher.