Utilization Management Coordinator

Utilization Management Coordinator

At Old Vineyard Behavioral Health Services, we are helping to create brighter, healthier futures for our patients and their families. We are the Piedmont Triad's only private psychiatric hospital meeting the chemical dependency illnesses and behavioral healthcare needs of those in our community. Our 164-bed inpatient services for adolescents through senior adulthood offers comprehensive and individual assessments, psychiatric evaluation and medication stabilization, daily group therapy and personalized aftercare planning. We also offer a Partial Hospitalization and Intensive Outpatient Treatment Program to ensure the continuum of care for our patients. Old Vineyard is accredited by The Joint Commission and certified by the Centers for Medicare and Medicaid Services. We are passionate about our work and are looking for individuals who share in this passion.

Position Summary: The Utilization Management Coordinator possesses knowledge of psychiatric clinical diagnosis and the ability to articulate those indicators professionally. Evaluates patient medical records to determine severity of patient's illness and determining the appropriateness of level of care. Serves as liaison for patients and hospital with insurance companies. Negotiates and advocates for patient length of stay and level of care. Has a working knowledge of all levels of care offered and appropriately manages patient benefits. Participates in the patient discharge process through Treatment Team meeting attendance.

Qualifications To perform this job successfully, an individual must be able to demonstrate competency in the criteria listed in this job description. The specifications listed below are representative of the knowledge, skill and ability to meet the minimum requirements for this position. Staff must demonstrate flexibility for reassignment to units providing care to varied populations including male and female adolescents and adults, as well as dually diagnosed adults.

Education: Master's degree in counseling, social work, or related field.

Experience: Five years experience in behavioral health field required. One year experience in utilization management within behavioral health setting strongly preferred.

Licensure/Certification: Licensed professional (LCSW, LCMHC, or LMFT).

Benefit Highlights: Career development opportunities across UHS and its 300+ locations! Diverse programming to expand your experience and energize your career HealthStream online learning catalogue Competitive Compensation & Generous Paid Time Off Excellent Medical, Dental, Vision and Prescription Drug Plans 401(K) with company match and discounted stock plan SoFi Student Loan Refinancing Program Tuition Assistance (after 1-year of employment)

About Universal Health Services One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. has built an impressive record of achievement and performance, growing since its inception into a Fortune 500 corporation. Headquartered in King of Prussia, PA, UHS has 99,000 employees. Through its subsidiaries, UHS operates 28 acute care hospitals, 331 behavioral health facilities, 60 outpatient and other facilities in 39 U.S. States, Washington, D.C., Puerto Rico and the United Kingdom.

EEO Statement All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.