Utilization Review Coordinator
Company: Georgetown Behavioral Health Institute
Posted on: January 16, 2022
Come join our team. Georgetown Behavioral Health Institute is a
118 bed inpatient behavioral health hospital and seeking a
full-time Utilization Review Coordinator. This position is
responsible for working with insurance companies and managed care
systems for the authorization, concurrent and retrospective review
of inpatient admissions and services.
Key responsibilities include obtaining authorization for each
admitted patient and you will review and monitor each step of the
authorization process to proactively identify potential problems to
help patients access the full range of their benefits through the
utilization review process.
Education: Master's Degree in a relevant field (e.g., mental
health, social work, counseling, marriage and family therapy,
psychology) is preferred but not required.
Licenses: Texas licensure as a LPC-I, LPC, LMSW, LMFT or LMFT-A
Preferred but not required. LVN or RN licensure also considered for
Experience: Prefer two years clinical experience in a facility with
medical terminology and in criteria for acute psychiatric inpatient
care. Knowledgeable of insurance coverage and billing practices
preferred. Previous experience in utilization review or case
Knowledge, Skills & Abilities:
Excellent communication, assessment, evaluation, and interpretation
Knowledge of psychiatric and addictive disease diagnoses and
treatment; flexibility; teaching or training skills helpful;
understanding of, or ability to understand DSM-V methodology.
Advanced knowledge and clinical skills in diagnosis and treatment
of mental health. Knowledgeable of patient rights and laws
pertaining to mental health.
Must have basic PC skills that include a combination of working in
a Windows Operating System and Microsoft Outlook, Word and Excel
and the ability to type a minimum of 30 words per minute.
Must have excellent communication skills and be a good listener
with a pleasant demeanor that encourages and engages others.
Must be able to multi-task, prioritize with strong time management
Screening: Must successfully pass background check, drug screen,
physical and be able to provide positive employment references.
Physical Demands: With or without reasonable accommodations, must
be able to stoop, kneel, crouch, reach, stand for sustained period
of time, walk, pull, lift, raise and move objects from position to
position (up to 50 lbs), finger grasp; feel sizes, shapes,
temperatures, and textures; express or exchange ideas orally and
potentially loudly, accurately, or quickly; visually detect,
determine, perceive, identify, recognize, judge, observe, inspect,
assess; perceive the nature of sound with or without correction;
perform repetitive motions of the wrist, hands, or fingers.
This job description is not intended to be all-inclusive. Employee
may perform other related duties to meet the ongoing needs of the
If you are among the most competitive and qualified candidates for
the job, you will be contacted directly by one of our hiring
managers. Due to the high volume of applications we receive, we are
unable to respond to individual inquiries regarding your
application status. Good Luck & we hope to meet you soon!
Georgetown Behavioral Health Institute is an equal opportunity
employer and makes employment decisions exclusively on the basis of
merit. We prohibit unlawful discrimination based on race, color,
creed, sex, religion, age, national origin or ancestry, physical or
mental disability, veteran status, marital status, medical
condition including genetic characteristics, sexual orientation,
gender identity, gender expression, transitioning status, or any
other category protected by federal, state, or local laws.
Full-time employees are eligible for medical, dental, vision,
company paid disability, 401(k) and a generous amount of paid time
Keywords: Georgetown Behavioral Health Institute, Georgetown , Utilization Review Coordinator, Other , Georgetown, Texas
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