Utilization Review Coordinator

Location: Bloomfield Hills, Clarkston or Farmington Hills

Schedule: Monday-Friday 8:00 am – 4:30 pm or another full-time equivalent.

Reports To: President / Clinical Director / Clinical Supervisor

Compensation: Salary Employee. Starting at $48,000/year. Commensurate with experience

Position Summary: The Utilization Review Coordinator is a fulltime position comprised of multiple clinical and administrative responsibilities related primarily to the FACE to FACE Partial Hospitalization Program with some possible involvement in the Outpatient Program. This position will require working as part of a multi-disciplinary team to provide the highest quality of care to clients.

Desired Skills:

• Ability to work under pressure and multi-task.
• Ability to work well on a multi-disciplinary team.
• Strong use of time management and self-motivational skills.
• Strong written and verbal communication.

Essential Duties / Functions:

• Complete Utilization Review assignments including the clinical review of medical records to ensure compliance with medical necessity and case documentation requirements including appropriate level of care, treatment, diagnosis, length of stay, and discharge planning.
• Coordinate and complete initial and re-authorization requests and/or case reviews to ensure authorization guidelines are met.
• Responsible for keeping administration and clinical team informed of all current and new requirements relating to the process of authorization and continued stay funding.
• Provide case management services as needed.
• Provide initial assessments, individual therapy, family therapy and/or group therapy to clients in the FACE to FACE and/or Outpatient Program (when necessary) in accordance with professional standards and policies/procedures of the facility.
• Complete documentation as required by the clinic’s policies/procedures.
• Attend daily FACE to FACE administrative/clinical meetings.
• Promotes quality and efficiency in the delivery of care management services.
• Ability to resolve all crisis situations appropriately.
• Perform other duties as assigned.

Qualifications: Master Degree and licensure in social work, professional counseling, or psychology. Must be able to work well with all types of people and all populations including children, adolescents, and adults.

Working Conditions: Staff is to dress professionally at all times per Employee Handbook. Staff will need to be prepared to be actively involved with consumers.

Relations with Others:

• External: High degree of contact with clients and families both in person and on the telephone.
• Internal: High degree of contact with other clerical and professional staff of the clinic.