Utilization Management Coordinator - Quality Care Advocate

Arbour SeniorCare; Fayetteville (AR); On-site; USD 60,000 - 80,000; Full time

Job summary

Springwoods Behavioral Health in Fayetteville, Arkansas seeks a dedicated Utilization Management Coordinator to lead design, development, and monitoring of UM functions. You will ensure clinical, financial and utilization goals are met, acting as the internal resource for resource utilization and care coordination across the continuum.

The role emphasizes accuracy in medical records review, adherence to regulations, and advocacy for proper treatment, aligning with Fall safety and quality

Qualifications

• Bachelor's degree in a related field (e.g., Nursing, Social Work/Counseling, Psychology).
• Three to five years work related experience in Inpatient psychiatric setting as a treatment team member or utilization review experience.
• Strong knowledge of medical records review processes and utilization standards.
• Familiarity with federal, state, and county regulations pertaining to patient care.
• Excellent attention to detail and the ability to analyze complex information.
• Effective communication skills for advocating on behalf of residents and collaborating with medical providers.
• Compassionate and empathetic approach when dealing with patients and their treatment needs.

Responsibilities

• Coordinate design, development, implementation and monitoring of UM functions.
• Meet clinical, financial and utilization goals per the UM plan.
• Serve as internal resource on appropriate resource utilization and care coordination.
• Support financial, quality and operational management objectives.
• Contribute to program development and unit performance improvement.
• Uphold Springwoods' core values and mission in daily work.
• Ensure services meet established quality standards and patient care expectations.
• Advocate for proper treatment and maintain keen attention to detail in records review.

Education

Bachelor's degree in a related field (e.g., Nursing, Social Work/Counseling, Psychology)

Job description

Springwoods Behavioral Health in Fayetteville, Arkansas seeks a dedicated Utilization Management Coordinator to lead design, development, and monitoring of UM functions. You will ensure clinical, financial and utilization goals are met, acting as the internal resource for resource utilization and care coordination across the continuum.

The role emphasizes accuracy in medical records review, adherence to regulations, and advocacy for proper treatment, aligning with Fall safety and quality