1 Coord-Behavioral Health Ult Mg Job in Bronx, NY
BronxCare Health System is Hiring a Coord-Behavioral Health Ult Mg Near Bronx, NY
The Coordinator-Behavioral Health Utilization Management (BH-UMC) will review and monitor all patients
admitted into psychiatry or substance abuse for appropriateness of admission according to nationally recognized
criteria.
The Coordinator-Behavioral Health Utilization Management (BH-UMC) will review and monitor all patients
admitted into psychiatry or substance abuse for appropriateness of admission according to nationally recognized
criteria. The BH-UMC will monitor discharge plan, continued stay, provide clinical information to managed care
plans or other intermediaries in order to secure certification status and reimbursement for the hospital. The BHUMC will collaborate with the physician, social worker and nursing to insure that discharge plan is implemented
timely, communicated to health plan and executed within appropriate length of stay allowances. The BH-UMC
will work under the direction of the Case Manager assigned to Behavioral Health in order to insure that all patients
are reviewed and certified. The BH-UMC will collaborate and communicate with all members of the Behavioral
Healthcare team to insure that patients designated for admission have all necessary documentation to meet
admission criteria for reimbursement purposes. The BH-UMC will facilitate discharges and assist the discharge
planning process by identifying delays/barriers to discharge.
Knowledge of Medicare, Medicaid, Managed Care and OASIS guidelines, medical
necessity criteria pertaining to psychiatry and substance abuse.
Knowledge of federal and state regulatory guidelines governing Behavioral Health
Qualifications:Minimum of three (3) years experience specifically in Behavioral Health Utilization review and case
management.
Managed Care or Discharge Planning experience in Behavioral Health a plus.
Bachelors/Masters
Job Summary
Full Time
$95k-115k (estimate)
04/30/2024
05/13/2024
bronxcare.org
BRONX, NY
3,000 - 7,500
1890
$500M - $1B
Hospital
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About BronxCare Health System
BronxCare is the largest voluntary, not-for-profit health and teaching hospital system serving the South and Central Bronx, with 859 beds and more than 4,500 employees. Its two main hospital divisions, comprehensive psychiatric and chemical dependency programs, long-term care facility, and extensive outpatient network are delivering the highest quality and accessible services to the community. BronxCare is now among the largest providers of outpatient services in New York City, with close to one million visits annually. Its ER is also responding to 141,000 visits, one of the busiest in New Yor...k. In 2017, BronxCare Health System received full accreditation from the Joint Commission, the leading accrediting authority for hospitals in the nation. Its medical school affiliation with the Icahn School of Medicine at Mount Sinai and Clinical Collaboration with the Mount Sinai Health System, as well as 16 accredited residency and fellowship programs, are strong indicators of excellence. BronxCares outpatient practices are also certified as a Level Three Patient-Centered Medical Home (the highest designation) by the National Center for Quality Assurance. As an engine for positive change, BronxCare has infused more than $300 million into the Bronx economy, including a 60,000 square foot BronxCare Health and Wellness Center for outpatient care, 56,000 square foot BronxCare Life Recovery Center for chemical dependency services, a brand-new 10,000 square foot state-of-the-art Cancer Care facility, and numerous capital projects.
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