Utilization Review Coordinator

Responsibilities

• Provide an ongoing, systematic process for the assessment of the necessity and efficiency of the use of Via Linda Behavioral Hospital services.
• Interface with managed care organizations, external reviewers, and other payors for initial reviews, continued stay reviews and discharge planning.
• Afford assistance in promoting and maintaining high-quality patient care through the review and evaluation of clinical practices.

Qualifications

• Education and Experience: Bachelor’s Degree in Social Services, Human Development, Nursing, or related field required. Master’s degree preferred.
• Registered Nurse or licensed as an LMSW, LCSW, LPC, MFT or similar AZ Board of Behavioral Health licensure preferred.
• 3+ years' experience in a behavioral health or medical inpatient facility serving patients, and special knowledge of the UM department.
• Must have or be able to obtain a Level 1 Fingerprint Clearance Card.

About the Role

Reports to the Utilization Management Director. UM Coordinators provide an ongoing, systematic process for the assessment of the necessity and efficiency of the use of Via Linda Behavioral Hospital services. Interface with managed care organizations, external reviewers, and other payors for initial reviews, continued stay reviews and discharge planning. Assists in the promotion and maintenance of high-quality patient care through the review and evaluation of clinical practices. This is an in-office position.