Utilization Reviewer Coordinator

• Make a difference every day in the lives of the underserved
• Join a mission driven organization with a people first culture
• Excellent career growth opportunities

Join us and find a career that supports:
• Caring for overlooked, underserved, and vulnerable patients
• Diversity, equity, inclusion, and belonging
• Autonomy in a warm team environment
• Growth and training

Perks and Benefits
In addition to comprehensive benefits including medical, dental, vision, paid time off, and 401k, we foster a work, life balance for team members and their family to support physical, mental, and financial wellbeing including:
• DailyPay, receive your money as you earn it!
• Tuition Assistance and dependent Scholarships
• Employee Assistance Program (EAP) including free counseling and health coaching
• Company paid life insurance
• Tax free Health Spending Accounts (HSA)
• Wellness program featuring fitness memberships and product discounts
• Preferred banking partnership and discounted rates for home and auto loans

Now is your moment to make a difference in the lives of the underserved.
If there is one unifying characteristic of everyone on our team, it is the deep desire to make a difference by helping society's most vulnerable and often overlooked individuals. Every day we have the distinct honor and responsibility to show up with non-judgmental compassion to provide hope and healing to those who need it most. For those whose calling it is to serve others, now is your moment to join our mission to provide quality care to every patient with compassion, collaboration, and innovation, to live our mantra to “Always Do The Right Thing!”, and to collectively do our part to heal the world, one patient at a time.

The Utilization Review Coordinator at NeuroBehavioral Hospital (NBH) will perform admission and continued-stay reviews. This position also assists with performing discharge planning to patients.

• Review precertification requests and collaborate with medical providers to obtain additional clinical information when necessary.
• Build effective relationships with colleagues, clients, patients, families, and physicians, and demonstrate strong teamwork skills.
• Utilize relationship management, coordination of services, resource management, patient advocacy, and related interventions to improve service quality, promote cost-effective outcomes, and prevent re-hospitalization or more acute levels of care.
• Provide advice, counsel, and in-service on utilization management and identify appropriate alternative resources, making prudent decisions and solving problems on a case-by-case basis.
• Identify patients requiring further reimbursement justification, monitor referrals and providers for potential issues, and coordinate issue resolutions in a timely manner.

Education

• Associate degree or equivalent experience in a health care related field. 
• Bachelor’s degree preferred.
• Knowledge of behavioral health systems and Utilization Management required.

Experience

• Minimum two (2) years of professional experience in a health care setting, preferably inpatient preferred.
• Minimum one (1) year clinical or utilization review or case management preferred.
• Knowledge of managed care regulations required.

Licenses/Certifications

• LPC, LMSW or RN or other healthcare related licensure preferred

We celebrate diversity and are committed to creating an inclusive environment for all employees.

We encourage you to apply! If you are excited about a role but your experience doesn’t seem to align perfectly with every element of the job description, we encourage you to apply. You may be just the right candidate for this, or one of our many other roles.