Utilization Review Case Coordinator

Overview

Utilization Review Case Coordinator Opportunity: Full Time, Day Shift. The Case Coordinator is responsible for managing and coordinating the treatment activities offered to the patient, interfacing with the treatment team, external case managers, managed care organizations, referring professionals, and implementing and supervising discharge planning. Coordinates and tracks all admission and continued stay reviews for pre-certifications. Works closely with Intake/Needs Assessment Department and Clinical Treatment Team to carry out utilization management for continued stay reviews.

Participates in treatment planning and supports aftercare planning, including setting up appointments and facilitating placement referrals for discharge as appropriate. Follows and abides by company policies, procedures, and Corporate Compliance Program.

Utilization Review Case Coordinator Opportunity: Full Time, Day Shift. The Case Coordinator is responsible for managing and coordinating the treatment activities offered to the patient, interfacing with the treatment team/external case managers/managed care organizations, referring professionals and implementation and supervision of the discharge planning. Coordinates and tracks all of the admission and continued stay reviews for pre-certifications. Works closely with Intake/Needs Assessment Department and Clinical Treatment Team to carry out its objectives regarding the provision of utilization management for continued stay reviews.

Actively participates in treatment team and works directly with the patient’s aftercare planning and setting up appointments and facilitates placement referrals for discharge as appropriate. Follows and abides by company policies, procedures, and Corporate Compliance Program, as applicable to role and responsibilities.

• Challenging and rewarding work environment
• Career development opportunities within UHS and its 300+ Subsidiaries
• Competitive Compensation & Generous Paid Time Off
• Excellent Medical, Dental, Vision and Prescription Drug Plans
• 401(K) with company match and discounted stock plan
• SoFi Student Loan Refinancing Program
• Tuition Reimbursement Program
• Retention Bonus Program
• Referral Bonus Program
• Close to Hamburg & I-75
• Free parking on premises
• Free meal with each shift

The Ridge Behavioral Health is a 110-bed behavioral health hospital located in the heart of the Bluegrass, Lexington, KY. The Ridge provides psychiatric and substance use treatment for children, adolescents, and adults. The Ridge offers inpatient, partial hospitalization, intensive outpatient programs, individual counseling, as well as medication management for all ages. We have provided behavioral health services to over 92 Kentucky counties for more than 36 years.

The Ridge was the recipient of the 2019 Service Excellence Award.

Education

• Master’s degree in Social Work, Psychology, or other Mental Health field or RN license is preferred.
• Minimum Associate Degree with 5 years mental health experience required.

Experience

• One to two years of experience in a psychiatric hospital is preferred
• One to two years of experience in Utilization Management preferred.

Certifications/Licensure

• Crisis intervention training required. This training also offered upon hire.
• CPR certification

Other Skills

• Excellent written and verbal communication skills.

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.

Diversity and inclusion among our teammates is critical to our success.

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 via email.

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