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About Us :
HEALING THE BODY AND MIND
Founded fifteen (15) years ago, NeuroPsychiatric Hospital is the largest hospital system in the nation providing care to patients with both neurological and medical needs.
We are unique in that we serve a population which others have been previously been unable to, largely due the patient’s underlying medial issues.
Our facilities maintain an inter-disciplinary focus using a multi-specialty approach for both neuropsychiatric and complex medical care issues.
This proven approach provides unrivaled quality care for all of our patients. We have multiple locations throughout the United States and are continuing to add locations to ensure better access to our unique model of care.
Overview :
Medical Behavioral Hospital of Clear Lake is looking for a Utilization Review Coordinator to coordinate patients’ services across the continuum of care by promoting effective utilization, monitoring health resources and elaborating with multidisciplinary teams.
Benefits of joining NPH
Competitive pay rates
Medical, Dental, and Vision Insurance
NPH 401(k) plan with up to 4% Company match
Generous PTO and Time Off Policy
Special tuition offers through Capella University
Work / life balance with great professional growth opportunities
Employee Discounts through LifeMart
Responsibilities :
Filing documents as needed.
Initial Precertification with payors.
Concurrent Clinical review with payors.
Document in the electronic system daily in real time.
Admission audit.
Ensures that CON’s / RON’s and CMS certifications are completed by provider.
Consistently demonstrates professionalism with all internal and external customers as evidenced by positive customer and peer Communicates effectively with all staff and patients as evidenced by the establishment and maintenance of productive working relationships.
Maintains knowledge of current trends and developments in the field by reading appropriate books; journals and other literature and attending related seminars or conferences.
Maintains a professional approach with Assures protection and privacy of health information as attained through written, electronic or oral disclosures.
Cooperates and maintains good rapport with nursing staff, medical staff, and other departments.
Seeks guidance and remains knowledgeable of, and complies with, all applicable federal and state laws, as well as hospital polices that apply.
Complies with hospital expectations regarding ethical behavior and standards of conduct.
Complies with federal and hospital requirements in the areas of protected health information and patient information.
Reconsiderations, assists with appeals as needed, arrange peer to peer level reviews, and report the outcomes to the VP of Care Management and Team.
Provides education to nursing staff. ;eadership team, and providers regarding documentation.
Actively works with the business office regarding resolution of appeals / denials and retrospective reviews.
Qualifications :
Education : An undergraduate or graduate degree in behavioral health or a Registered Nurse (RN); LPC, LMSW
Licensure : QMA, CMA, CCM, ACM or MA (preferred)
Skills : Must have strong knowledge of medications and demonstrate exceptional time management, data entry, and communication skills.
Must be detail oriented.#INDEEDLOW
Last updated : 2023-11-29
Full Time
Hospital
07/18/2022
12/19/2023
neuropsychiatrichospitals.net
MISHAWAKA, IN
25 - 50
2006
CAMERON GILBERT
$50M - $200M
Hospital
To make a referral, please call our referral hotline: 1-877-398-4186 IF THIS IS AN EMERGENCY, PLEASE DIAL 911 OR GO TO THE NEAREST EMERGENCY ROOM On behalf of our psychiatric, medical and professional staff, we would like to personally welcome you to NeuroPsychiatric Hospitals (NPH), a new and innovative care model offered in Northern and Central Indiana. NPH is a system of acute, inpatient hospitals with an innovative approach to neuropsychiatric care for the geriatric and adult population. Unlike hospitals who are solely psychiatric-based, NPH utilizes an interdisciplinary team of psychiatri...sts, psychologists, neurologists and medical doctors. This team works collaboratively to evaluate chronic behavioral and emotional disorders that may have a psychiatric, neurological or medical pathogenesis. This model was borne out of the desire to provide the most comprehensive care possible to adult and geriatric patients with compromised cognitive or behavioral statuses who are also often medically and/or neurologically compromised. Many of our patients have been in and out of other acute settings, being continually treated for the symptomatology without a thorough understanding of the etiology. This population can experience metabolic changes, synergistic reactions due to polypharmacy, and have multiple underlying medical diagnoses that cause and/or exacerbate cognitive and behavioral issues. It is for that reason that NPH is intentionally thorough with each patient, often requiring more intensive and specialized services and greater time to reconstitute than seen in typical acute care settings. We strive to heal both the body and the mind. We have hospitals in Mishawaka, IN, Bremen, IN and Indianapolis, IN. We are currently developing a location in Northwest Indiana which we expect to open in early 2016. .
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The job skills required for Utilization review coordinator include Communicates Effectively, Time Management, etc. Having related job skills and expertise will give you an advantage when applying to be an Utilization review coordinator. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Utilization review coordinator. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Utilization review coordinator positions, which can be used as a reference in future career path planning. As an Utilization review coordinator, it can be promoted into senior positions as a Clinical Outcomes Manager that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Utilization review coordinator. You can explore the career advancement for an Utilization review coordinator below and select your interested title to get hiring information.