Utilization Management Coordinator- Part-time

Houston Behavioral Healthcare Hospital; Houston (TX); On-site; USD 50,000 - 60,000; Part time

Benefits offered by this job

401-K Plan

Dental and vision coverage

Job summary

A healthcare facility in Houston is seeking a Part-time Utilization Management Coordinator to provide quality case-management services. This role involves developing treatment and discharge plans, coordinating with physicians, and ensuring effective communication with patients and families. Ideal candidates have a Bachelor's degree in social work or psychology and experience in a psychiatric setting. The schedule is flexible, including weekends. Benefits include a 401-K plan and dental and vision coverage.

Qualifications

• 1 year experience in a medical-related field and/or prior authorization experience preferred.
• Experience in a psychiatric setting is beneficial.
• Knowledge of health-care service delivery systems and third-party reimbursement required.

Responsibilities

• Assist with collecting information from patients and families to develop treatment and discharge plans.
• Develop and coordinate individualized discharge plans for patients.
• Act as liaison for internal and external reviewers.

Skills

Customer-service skills

Organizational skills

Communication skills

Proficient use of Excel, Word

Ability to multitask

Education

Bachelor’s degree in social work, psychology or related field

Job description

Houston Behavioral Healthcare Hospital (HBHH) is located in a serene, picturesque setting within the Spring Branch District of West Houston. Our facility boasts highly qualified caring staff dedicated to providing exceptional service.

We strive to lead in Behavioral Health by delivering quality services to those entrusted in our care and upholding compassion, acceptance, respect, empowerment, and sincerity in every step.

Houston Behavioral Healthcare Hospital (HBHH) currently has an opening for a Part‑time Utilization Management Coordinator. The Coordinator will report to the Director of Utilization Review and provide quality case‑management services to all patients and families, serving as a member of the interdisciplinary team that supports the organization’s treatment program and philosophy, and ensuring the delivery of quality treatment.

Duties

• Assist with collecting information from patients and families to develop treatment and discharge plans.
• Develop and coordinate an individualized discharge plan for the patient using treatment team and chart information to determine aftercare needs.
• Coordinate individualized discharge planning with physicians.
• Conduct reviews and communicate documentation as required by payor standards to obtain necessary certification and maximize reimbursement.
• Act as liaison for both internal and external reviewers.
• Help complete aftercare appointments within seven (7) days of discharge.
• Perform other duties as assigned.

Knowledge, Skills and Abilities

• Basic understanding of human anatomy, specifically musculoskeletal.
• Proficient use of CPT and ICD‑10 codes.
• Excellent computer skills including Excel, Word and Internet use.
• Excellent organizational skills.
• Able to plan and prioritize to meet deadlines.
• Excellent customer‑service skills with clear and effective communication.
• Ability to multitask and remain focused while managing a high‑volume, time‑sensitive workload.

Job Types

Part‑time

Schedule

• Weekends with flexibility (3 days)
• 8:00 a.m. – 4:30 p.m.

Requirements

• Bachelor’s degree in social work, psychology or related field (preferred).
• 1 year experience in a medical–related field and/or prior authorization experience (preferred).
• Experience in a psychiatric setting.
• Knowledge of health‑care service delivery systems and third‑party reimbursement.
• Knowledgeable of managed‑care environment.
• Reliable and flexible.
• Great customer‑service and team‑player skills.

Benefits

• 401‑K Plan
• Dental and vision coverage

Location: Houston, TX

Salary: $50,000.00 – $60,000.00