Utilization Review Coordinator - PT, Weekends

River Point Behavioral; Jacksonville (FL); Hybrid; USD 36,000 - 51,000; Part time

Benefits offered by this job

Challenging environment

Competitive compensation

401(K) with company match

Discounted stock plan

Career development within UHS

SoFi student loan refinancing

Job summary

River Point Behavioral Health in Jacksonville, FL is seeking a PT Utilization Review Coordinator (including weekends) to monitor treatment activities and coordinate with the treatment team and managed care organizations to ensure quality patient care.

The role involves completing concurrent reviews for mental health and dual diagnosis patients, handling appeals, and following up until a final decision, with opportunities for professional growth within UHS.

Qualifications

• Must have strong verbal and written communication with clinical staff.
• Experience with Utilization Management and coordination with referrals.
• Knowledge of regulatory and reimbursement requirements.
• Ability to monitor and evaluate care records for quality.

Responsibilities

• Monitor treatment activities and ensure quality patient care.
• Interface with treatment teams and managed care organizations.
• Complete concurrent reviews for MH and dual diagnosis (inpatient/outpatient).
• Process appeals and follow up until final decision.
• Maintain effective communication with physicians and staff.

Skills

Communication skills

Independent work

Regulatory knowledge

Quality monitoring

Computer skills

Education

Registered Nurse (RN)

Licensed Practical Nurse (LPN)

Master’s in Social Work (MSW)

Job description

River Point Behavioral Health in Jacksonville, FL is seeking a PT Utilization Review Coordinator (including weekends) to monitor treatment activities and coordinate with the treatment team and managed care organizations to ensure quality patient care.

The role involves completing concurrent reviews for mental health and dual diagnosis patients, handling appeals, and following up until a final decision, with opportunities for professional growth within UHS.