Utilization Review Coordinator - PRN position

Georgetownbehavioral; Georgetown (TX); On-site; USD 65,000 - 85,000; Full time

Benefits offered by this job

Medical, Dental, Vision Insurance

Company Paid Disability

401(k)

Generous Paid Time Off

Job summary

Georgetownbehavioral in Georgetown, Texas is seeking a PRN Utilization Review Coordinator to manage the authorization process for inpatient admissions. Candidates should have a bachelor’s degree in nursing and 3-5 years of experience in admitting or financial counseling.

This role ensures patients gain access to their benefits through a thorough utilization review process. Benefits for full-time employees include health insurance, 401(k), and paid time off.

Qualifications

• Experience working with insurance companies and managed care systems.
• 3-5 years in admitting or financial counseling.
• Familiarity with medical terminology and acute psychiatric care.

Responsibilities

• Coordinate the authorization process for admitted patients.
• Monitor each step of the authorization process.
• Identify potential problems in accessing patient benefits.

Skills

Utilization Review

Case Management

Clinical Experience

Insurance Knowledge

Education

Bachelor’s degree in Nursing or equivalent

Job description

Our inpatient behavioral health hospital is seeking a PRN Utilization Review Coordinator.

This position is responsible for working with insurance companies and managed care systems for the initial authorization, concurrent and retrospective review of inpatient, partial, and intensive outpatient admissions and services. Previous experience in utilization review or case management desirable.

This position will obtain authorization for each admitted patient. Review and monitor each step of the authorization process to proactively identify potential problems to help patients access the full range of their benefits through the utilization review process.

Education and/or Licensure

Bachelor’s degree or equivalent in nursing preferred.

Experience

3-5 years Admitting or Financial Counseling preferred. Prefer two years clinical experience in a facility with medical terminology and in criteria for acute psychiatric inpatient care. Knowledgeable of insurance coverage and billing practices preferred. Previous experience in utilization review or case management desirable.

Additional Requirements

Must possess or obtain a valid CPR certification and be certified in facility approved verbal de-escalation and physical crisis management techniques within 30 days of hire and prior to completion of orientation required.

Benefits for Full‑time Employees

Eligible for medical, dental, vision, company paid disability, 401(k) and a generous amount of paid time off.