Weekend Utilization Review Coordinator

River Point Behavioral Health; Jacksonville (FL); On-site; USD 35,817 - 50,971; Full time

Benefits offered by this job

Competitive Compensation

401(K) with company match and discount

Career development opportunities

SoFi Student Loan Refinancing Program

Benefits Guest Website

Job summary

River Point Behavioral Health in Jacksonville, FL, is seeking an Utilization Review Coordinator to monitor treatment activities and interface with the treatment team, managed care organizations, and referring professionals to ensure quality patient care. The role covers both inpatient and outpatient services and includes completing concurrent reviews and appeals with follow-up until final decisions.

Ideal candidates are RN, LPN, or MSW with Utilization Management experience, strong verbal and

Qualifications

• Excellent verbal and written communication skills are essential.
• Able to monitor and evaluate records for quality and appropriateness of care.
• Knowledge of regulatory and reimbursement requirements.
• Basic computer skills are required.

Responsibilities

• Monitor treatment activities to ensure quality patient care.
• Interface with treatment team and managed care organizations.
• Complete concurrent reviews for mental health and dual diagnosis patients (inpatient and outpatient).
• Complete appeals and follow up until final decision is determined.

Skills

Communication skills

Utilization Management

Regulatory knowledge

Quality monitoring

Education

RN

LPN

MSW (Master’s level)

Job description

River Point Behavioral Health in Jacksonville, FL, is seeking an Utilization Review Coordinator to monitor treatment activities and interface with the treatment team, managed care organizations, and referring professionals to ensure quality patient care. The role covers both inpatient and outpatient services and includes completing concurrent reviews and appeals with follow-up until final decisions.

Ideal candidates are RN, LPN, or MSW with Utilization Management experience, strong verbal and