Utilization Review Coordinator - PRN Voyages Conroe
Utilization Review Coordinator - PRN Voyages Conroe
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Salary Not Disclosed
1 Vacancy
Job Description
Overview
At Voyages Behavioral Health/ PAM Health we care for chronically and critically ill patients who require extended hospital care. PAM Health has over 80 hospital locations and employs over 11000 people across the country. Our teams work together to deliver the highest level of compassionate care ensuring the best possible outcome for our patients.
What can we offer you as a fulltime employee
- Medical benefits: EPO/HDHP/HSAoptions including prescription coverage Rx n Go and Teladoc
- Comprehensive dental and vision benefits
- Employee Assistance Program includingcounseling legal and financial services
- Flexible spending (FSA) and health savings(HSA)accounts
- Life and Disability insurancebenefits
- Education/InService Opportunitiesincluding continuing education and tuition assistance
- Supplemental benefits: Accident critical illness cancer pet and identity theft protectioninsurance options
- Auto Home Cell Phoneand Gym Membership discountofferings
- Personal Travel Discounts
- 401(k) plansand discretionary employer match
- Generous Paid Benefit Time
Responsibilities
Under the direction of the Director of Utilization Review the responsibilities of the Utilization Review Coordinator are to manage the review of assigned admissions continued stays utilization practices and discharge planning according to the approved clinically valid criteria. The Utilization Review Coordinator will review clinical content of medical record participate in treatment team meetings collaborate with physicians therapist nurses and pertinent staff on gathering the necessary data to communicate with insurance companies/authorizing entities to ensure initial precertification and continued authorization is achieved. Utilization Review Coordinator will ensure reviews and analysis of precertifications and continued stay reviews followup on unfinished precertifications from the day before and coordinate with the treatment team on any followups necessary. The Utilization Review Coordinator will be trained in all aspects relative to timely gathering of clinical criteria communication of clinical criteria and entry of supporting clinical criteria into computerbased systems. This position will contribute to department meetings quality initiatives and maintain services within TJC requirements.
Qualifications
- Education and Training: Masters or bachelors degree in nursing social work mental health/behavioral sciences or related field required. Licensed if applicable in the state in which the hospital resides. Current BLS certification required. Crisis management certification per hospital policy and standards required.
- Experience: One to three years of acute care behavioral health management provided to a wide range of demographics and ages preferred.
Required Experience:
IC
Employment Type
Full-Time
