Utilization Review Coordinator PRN

Responsibilities

Utilization Review Coordinator at The Carolina Center for Behavioral Health (CCBH) to provide quality case management services to patient populations and their families. Monitor and optimize reimbursement for organizational services.

• Maintain appropriate records for the Utilization Review Department.
• Prepare and submit appeals, conduct admission reviews and pre-certifications, conduct concurrent and extended stay reviews, and submit appeals to third‑party payors.
• Schedule and conduct treatment team meetings to provide total case management by reviewing progress notes and communicating state or local agency requirements.
• Demonstrate conduct in keeping with CCBH’s ethical standards.

• Challenging and rewarding work environment
• Career development opportunities
• Competitive compensation

Requirements:

• Education:
  
  Graduate of an accredited RN program with current RN license, or a Master’s in Counseling, Social Work, or related field.
• Experience:
  
  0–1 year required; 2 years preferred. Experience with psychiatric patient care techniques preferred.
• Additional requirements:
  
  Completion of Management Aggressive Behavior Training (HWC) before unit orientation; CPR certification through American Red Cross or American Heart Association before independent patient assignment.
• Work Hours:
  
  PRN.

PRN

Telephone, shower/bath, audio‑visual equipment, EKG machine, thermometer, refrigerator, radio, blood pressure cuff, vitals machine, housekeeping supplies, copy machine, physical restraints, first aid items, shredder.

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.