Job Description

Job Description

Responsibilities

The pay rate for a part time Utilization Review Coordinator is $29.30 to $43.94.

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Highlands Behavioral Health System is an 86 bed, acute care psychiatric hospital located in Littleton, CO. Highlands features individual units for adolescents, adults, and seniors, and offers inpatient acute care, partial hospitalization, and intensive outpatient programs.

Highlands Behavioral Health System offers comprehensive benefits for the UR Position, such as:

Challenging and rewarding work environment

Competitive Compensation

Excellent Medical, Dental, Vision, and Prescription Drug Plan

Generous Paid Time Off

401(K) with company match and discounted stock plan

Career development opportunities within UHS and its Subsidiaries

JOB SUMMARY:

The UR Coordinator possesses knowledge of psychiatric clinical diagnosis and the ability to articulate those indicators professionally. The UR Coordinator evaluates patient medical records to determine severity of patient's illness and determining the appropriateness of level of care. Serves as liaison for patients and hospital with insurance companies. Negotiates and advocates for patient length of stay and level of care. Oversees utilization review activities with other departments to ensure reimbursement for services provided by the hospital. The UR Coordinator leads physician weekly staffing meetings and coordinates with physician's outpatient offices for the purposes of billing. The UR Coordinator has a working knowledge of all levels of care offered and appropriately manages patient benefits.

Qualifications

JOB SPECIFICATIONS:

To perform this job successfully, an individual must be able to perform each primary duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the primary functions.

Education: MA/MSW or RN highly preferred Bachelor's degree in social science required.

Experience: Five or more years direct psychiatric patient care experience.

Licensure/Certification: MSW, BSW, LPC, Valid RN license, LCSW, or LPC preferred.

Knowledge: Must possess knowledge of psychiatric care, utilization review, insurance reimbursement procedures, DSM-IV, etc. Advanced computer skills necessary. Strong analytical, organizational, verbal and written skills required.

Supervision Received: Manager of Utilization Review