UR COORDINATOR

Windsor Laurelwood Center for Behavioral Health

Utilization Management Clinician-PRN

Job Summary

Job Requirements

Education: Graduate from an accredited program of professional nursing. Bachelor degree is preferred.

Professional License: RN, LPN, OR SW license is required

Experience: A minimum of five (5) years direct clinical experience in a psychiatric setting or mental health treatment setting is required. Experience in patient assessment, family motivation, treatment planning and communication with external review organization or comparable entities.

Working Environment: Typical office setting

Primary Responsibilities and Job Specifications

1. Coordinates the response to requests for services, including the initial response, the assessment and referral process, the designation of appropriate level of care, initiating services and follow up activity.
2. Reviews the effectiveness of the comprehensive interface with external reviewers, communicate with external reviewers and managed care organizations to assure timely and appropriate interactions, monitor outcomes of reviews and provide consultation as needed.
3. Reviews the quality of documentation provided at all levels of care to assure adequacy and clinical appropriateness.
4. Assures patients are receiving effective and appropriate treatment, based on the level of care provided.
5. Ensures standards for customer relations.
6. Ensures the program services offered, consulting with facility management in the planning, development implementation and evaluation of the case management program.
7. Maintains current awareness of mental health activities in the community.
8. Provide services to current referral sources to assure their satisfaction and continued associates.
9. Ensures appropriateness of admission
10. Provides necessary information for the authorization and/or reauthorization of patient admissions.
11. Refers cases to the Chief Medical Officer as appropriate.
12. Contacts providers as appropriate to obtain necessary information.
13. Evaluates each case for quality of care; documents quality issues and appropriately refers cases to the quality management coordinator.
14. Reviews selected requests for quality and follow up as necessary with the Attending Physician.
15. Participates in educating providers regarding Utilization Review services, policies and procedures.
16. Maintains strong working relations with internal and external customers.
17. Communicates positively and professionally.
18. Actively participates in monthly staff meetings.
19. Maintains confidentiality in all aspects of operations.
20. Effectively articulates clinical and non-clinical information to personnel of all levels of understanding.

Communicates information accurately and timely to internal and external staff both orally and in writing in operations, policies, procedures

This individual must possess excellent verbal and written communication skills. Diplomacy and discretion are essential, as well as excellent organizational skills and the ability to prioritize multiple projects. Professional demeanor and appearance required.

Windsor Laurelwood Center for Behavioral Medicine offers an excellent time off plan, medical, dental, vision, employee assistance program, life insurance, short and long term disability benefits and 401(k) plan for full time and part time employees.

We are Equal Opportunity Employers. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or status as an individual with a disability. We embrace diversity in our people, services and ideas. While we sincerely appreciate all applications, only candidates selected for an interview will be contacted.

Windsor Laurelwood Center for Behavioral Medicine is not accepting unsolicited assistance from search firms for this employment opportunity. Please, no phone calls or emails. All resumes submitted by search firms to any employee at Windsor Laurelwood Center for Behavioral Medicine via-email, the Internet or in any form and/or method without a valid written search agreement in place for this position will be deemed the sole property of Windsor Laurelwood Center for Behavioral Medicine. No fee will be paid in the event the candidate is hired by Windsor Laurelwood Center for Behavioral Medicine as a result of the referral or through other means. Applications are only accepted via the online submission program. Paper application and resumes are not accepted.

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.We believe that diversity and inclusion among our teammates is critical to our success.

Notice

At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path at UHS and our subsidiaries. We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you are suspicious of a job posting or job-related email mentioning UHS or its subsidiaries, let us know by contacting us at: https://uhs.alertline.com or 1-800-852-3449.

Salary : $11 - $0