Posted 3w ago

Utilization Review Coordinator (UR)

@ US HealthVest
Lacey, Washington, United States
$29-$38/hrOnsiteFull Time
Responsibilities:Review treatment plans, Maintain contact with physicians and team members, Coordinate discharge planning
Requirements Summary:Bachelor's in nursing or Master's in social work/mental health/related field; 2+ years in behavioral health or managed care; experience in patient assessment, treatment planning, utilization management, and/or case management.
Save
Mark Applied
Hide Job
Report & Hide
Job Description

JOIN OUR TEAM AS A Utilization Review Coordinator (UR)!

 

Fulltime

 

 

Your Work Matters How will you make a difference?

 

As a Utilization Review Coordinator (UR Coordinator), you'll be a vital advocate for our patients, ensuring they receive the best care possible by liaising with external case managers and managed care organizations for certification and recertification of insurance benefits. You'll assist our treatment team in understanding insurance requirements for continued stay and discharge planning and maintain a thorough understanding of patient treatments through constant communication with the team. You will advocate for patient access to services during treatment team meetings and individual physician contact, as well as lead treatment team meetings and continued stay reviews as indicated. Your role is key in guiding patients through their treatment journey and discharge planning, making a real difference every day!

 

  • Review treatment plans and advocate for additional services.
  • Promote effective use of resources for patients.
  • Maintain contact with physicians and team members.
  • Collaborate on continued stay and discharge planning.
  • Ensure patients are placed in appropriate care levels.
  • Document case management activities and track insurance reviews.
  • Provide patient status updates and insurance requirements to staff.
  • Manage the insurance appeals process and coordinate discharge plans.

 

 

Your Experience Matters What we’re looking for:

 

  • Education: A Bachelor’s degree in nursing or a Master’s in social work, mental health, or related field is required.
  • Experience: Minimum of two years in behavioral healthcare or managed care, with experience in patient assessment, treatment planning, utilization management, and/or case management and Detox.

 

 

 

Your Care Matters What we provide for our team:

 

  • 401(k) + matching
  • Health insurance
  • 100% company-paid life insurance coverage up to 2x your annual salary
  • Vision insurance
  • Dental insurance
  • 100% company-paid long term disability insurance
  • Paid time off
  • Paid Holidays
  • Cafeteria on site
  • Employee engagement events
  • Employee assistance program
  • Employee recognition program
  • Free parking

What sets us apart:

  • Career & training development opportunities
  • Dynamic and inclusive work environment
  • Engaged management team dedicated to your success
  • A guiding mission and set of values that serve as both our northstar and yours, anchoring our collective purpose and aspirations

 

Disclaimer: Select benefits are available to full-time positions only. Benefits are subject to change at the discretion of South Sound Behavioral Hospital.

 

 

Compensation:

This is a full-time role and the expected compensation range is $29-$38 hourly.  We’re eager to engage with all qualified candidates, and consideration will be provided to experience and skill level. Join us as our Utilization Review Coordinator!