Utilization Review (UR) CoordinatorNew Vista Behavioral Health • Johnstown, Pennsylvania, United States
Utilization Review (UR) Coordinator
New Vista Behavioral Health
- Johnstown, Pennsylvania, United States
- Johnstown, Pennsylvania, United States
About
Medical Packages with Rx – 3 Choices Flexible Spending Accounts (FSA) Dependent Day Care Spending Accounts Health Spending Accounts (HSA) with a company match Dental Care Program – 2 choices Vision Plan Life Insurance Options Accidental Insurances Paid Time Off + Paid Holidays Employee Assistance Programs 401k with a Company Match
Education + Leadership Development
Up to $15,000 in Tuition Reimbursements OR Student Loan forgiveness Handle with Care Trainer – Certifications
Recognition + Rewards
On the spot recognition Prizes Team Member of the Quarter Team Member of the Year Monthly Celebrations Team Member Recognition Cards
Education
High school diploma or GED (Required) Bachelor's Degree in Nursing, Social Work, Mental Health/Behavioral Sciences, or related field preferred. Previous Utilization Review experience in a behavioral healthcare facility preferred.
Job Responsibilities
Obtain initial authorizations and provide discharge notifications for inpatient and outpatient behavioral health treatment. Coordinate authorization information with third party payors in a timely manner. Complete thorough and accurate documentation in all required systems. Maintain communication system based on documentation and verbal exchange regarding treatment with other UM staff and staff at the facilities as needed. Reports appropriate denial and authorization information to designated resource. Assist UM Specialists in scheduling and following up on results of Peer to Peer requests for physicians and CNP. Provide support to the UM Specialists.
Skills
Ability to multi-task Strong organization skills Strong problem-solving skills Ability to work well independently and as a part of a team
Qualified candidates, apply now for a chance to join our outstanding team as we Inspire Hope, Restore Peace of Mind, and Heal Lives.
Languages
- English
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