Utilization Review Coordinator (NY HELPS), Buffalo Psychiatric Center P28154

New York State Office of Mental Health; Buffalo (NY); On-site; USD 65,000 - 90,000; Full time

Benefits offered by this job

Health insurance

Tuition assistance

Career growth

Paid time off

Retirement plan

Job summary

New York State Office of Mental Health seeks a Utilization Review Coordinator at Buffalo Psychiatric Center to analyze quality and efficiency of psychiatric and medical services for individuals with mental illness.

The role requires review of medical records, data collection, and reporting on utilization patterns, with qualifications including a human services degree and UR experience or nursing licensure with UR exposure.

Qualifications

• Bachelor’s degree in a human services field with 3 years of utilization review experience.
• License and registration to practice nursing with 2 years post-licensure UR or discharge planning experience.
• State Service eligibility or promotion options as described in the posting.

Responsibilities

• Review clinical records for completeness and accuracy to ensure compliance.
• Collect and analyze data related to utilization review and prepare reports.
• Review admissions, length of stay, and discharge plans against criteria.

Skills

Utilization review

Record review

Data analysis

Report writing

Education

Bachelor's degree in human services

Nursing license with post-licensure UR experience

Job description

Duties Description

Buffalo Psychiatric Center is recruiting for a Utilization Review Coordinator to analyze and evaluate quality, effectiveness, and efficiency of psychiatric and medical services provided to individual diagnosed with mental illness. Candidates from outside or within State Service can apply.

As a Utilization Review Coordinator, your duties will include:

• Reviewing clinical records for completeness and accuracy to ensure compliance.
• Collecting and analyzing data related to the utilization review process and preparing reports on findings, patterns, and trends.
• Reviewing medical records of new admissions, placement decisions, length of stays, and discharge plans against established criteria to determine if necessary and effective.

Minimum Qualifications

Candidates from outside or within State Service can be considered for hire under the Hiring for Emergency Limited Placement – Statewide (NY HELPS) program as a Utilization Review Coordinator if they have:

• Bachelor’s degree in a human services field and 3 years of utilization review experience in a health care facility regulated by Centers for Medicare and Medicaid Services Utilization Review Standards, or
• Possession of a license and registration to practice nursing and 2 years of post-licensure nursing experience, one of which must have included utilization review and/or discharge planning

OR
Candidates within State Service can be considered for a competitive class appointment if they are reachable on the current Utilization Review Coordinator eligible list.

OR
Candidates within State Service can be considered for a competitive class appointment if they have 1 year of permanent competitive or 55-b/55-c service in a title eligible for transfer under Section 70.1 of the Civil Service Law.

OR
In accordance with Section 52.7 of the Civil Service Law, this notice advises all employees of the Office of Mental Health of our intention to conduct a non-competitive promotion examination for the position of Utilization Review Coordinator at Buffalo Psychiatric Center. Permanent appointment may be made by non-competitive promotion of an applicant who meets the position’s minimum qualifications if all requirements of non-competitive promotion are met.

Promotional Field consists of Registered Nurse 1 Psychiatric (including all language parenthetic)

Additional Comments

All OMH employees receive a generous benefits package including:

• NYS medical, dental, & vision insurance
• Access to tuition assistance programs
• Excellent opportunities for advancement & professional growth
• Paid time off – 13 paid vacation days in the first year, 5 paid personal days, 13 paid holidays, & paid sick leave
• NYS Retirement programs

Background checks will be required.

Notes:

In order to be eligible for appointment and to maintain employment, you cannot be listed as an excluded individual or entity on any of the Federal and/or State Medicaid and Medicare exclusion lists (or excluded from any other Federal or Federally assisted program). If you are appointed and subsequently listed as an excluded individual or entity on any of these lists (or excluded from any other Federal or federally assisted program), you may be terminated from your employment.