Utilization Management (UM) Coordinator

Role: UM Director

Job Post Title: Utilization Review Director

Shift: M-F

Hours: 8-4:30 9-5

The Role Itself  

• Oversees service requests, authorizations and LOS metrics.

• Reviews documentation quality for clinical effectiveness in regards to reimbursement.

• Participates in clinical team for goal alignment and compliance.

• Manages patient transitions between LOC and updates denial log.

• Develops processes to minimize denials and provides education.

• Possesses strong knowledge of external review organizations.

• Facilitates UM team meetings.

Perks with us!

• Medical Packages with Rx – 3 Choices

• Flexible Spending Accounts (FSA)

• Dependent Care Spending Accounts

• Health Spending Accounts (HSA) with a company match 

• Dental Care Program – 2 choices

• Vision Plan

• Life Insurance Options 

• Accidental Insurances 

• Paid Time Off + Paid Holidays

• Employee Assistance Programs 

• 401k with a Company Match

Education + Leadership Development 

• Up to $15,000 in Tuition Reimbursements 

• Student Loan Forgiveness Programs

Education:

• Related and relevant field experience

• Or Bachelor's Degree in Nursing, Social Work, Mental Health/Behavioral Sciences,

• Or Master's Degree 

• Must be 21 yrs or older

License:

• LPN, RN, LMSW, LPC, BSW, LSW, LPCC, LISW or applicable license preferred.