Company Name:

Acadia-Healthcare

Location:

Newport Beach, California

Approximate Salary:

Not Specified

Job Category:

Events Planner

Industry:

Production

Date Posted:

November 19, 2017

UR (Utilization Review) Coordinator

Reports To Director of Utilization Review

Key Job Elements

Analyzes medical information and applies established criterion to facilitate the utilization review process

Researches, reviews and prepares medical information to present and collaborate objectively in order to facilitate case resolution

Plans and organizes individual caseloads to meet URAC and jurisdictional regulatory requirements for timeliness, notifications and documentation

Collaborates and communicates effectively to promote the integration of all departments and products through interdepartmental referrals and communications

Documents pertinent information in internal and external communications to support Utilization Management determinations and case resolutions

Ability to be flexible to meet department expectations and/or business needs

Works to improve the UR process to enhance quality of patient care and make healthcare more economical for patients

Ensures patient s family is informed of all the benefits the patient is eligible or responsible for under the healthcare provider s program plan

Utilizes appropriate desktop resources to perform the utilization review process

Perform other duties as assigned by Director of Admissions

Position Requirements

2-5 years Utilization Review experience;

Possess active professional license or certification to practice as a health professional in CA or territory of the United States;

Competency in Microsoft applications including Word, Excel, and Outlook;

Capability to work in an unstructured setting;

Must have excellent verbal and written communication skills; must speak clearly and concise;

Ability to work well within a team environment;

Possess a valid driver s license in good standing.


Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor s legal duty to furnish information.

Qualifications Skills
Behaviors

Motivations

Education
Experience

Licenses & Certifications

Company Name:

Acadia-Healthcare

Location:

Newport Beach, California

Approximate Salary:

Not Specified

Job Category:

Events Planner

Industry:

Production

Date Posted:

November 19, 2017

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