Job Summary: The Utilization Review Coordinator is responsible for the day-to-day activities involved in the planning and coordination of authorization from insurance companies for initial, concurrent, and discharge reviews for Partial Hospital, Intensive Outpatient, and Outpatient levels of care as needed. The UR Coordinator also assists with other necessary duties and responsibilities of the program, at the direction of the program manager.
Specifications: Masters level social work degree, with behavioral health experience in a psychiatric setting preferred. Must have excellent technological and computer/typing skills, organizational and interpersonal skills. Must be proficient in the English language. At least two years of experience preferred in an organized Utilization Management Program or Peer Review Organization. Must have case management certification and/or knowledge of relevant perinatal mental health and psychiatry community resources.
Care New England Health System (CNE) and its member institutions, Butler Hospital, Women & Infants Hospital, Kent Hospital, VNA of Care New England, Integra, The Providence Center, and Care New England Medical Group, and our Wellness Center, are trusted organizations fueling the latest advances in medical research, attracting top specialty-trained doctors, and honing renowned services and innovative programs to engage in the important discussions people need to have about their health.
Americans with Disability Act Statement: External and internal applicants, as well as position incumbents who become disabled must be able to perform the essential job-specific functions either unaided or with the assistance of a reasonable accommodation, to be determined by the organization on a case-by-case basis.
EEOC Statement: Care New England is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.
Ethics Statement: Employee conducts himself/herself consistent with the ethical standards of the organization including, but not limited to hospital policy, mission, vision, and values.
WIH Internal Posting Period 11/13/2024 - 11/22/2024
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