Description

The Behavioral Health Utilization Coordinator (BHUC) will provide concurrent utilization management of medical necessity determinations, second level clinical reviews, length of stay, and clinical denial processes.

Once trained, this position will also cover as needed for the Assessment, Intake and Referral Specialist. Assesses the treatment needs of patients, determines the appropriate level of care and secures patient account reimbursement by obtaining complex demographic, insurance and behavioral health clinical information.

Providence caregivers are not simply valued – they’re invaluable. Join our team at Providence Milwaukie Hospital and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.

Required qualifications:

• Master's Degree in a clinical area such as Counseling, Psychology, Social Work, or Behavioral Health Rehab; from an accredited school, or from a school in candidacy status.

• 5 years Clinical mental health experience with evaluation and diagnostic work.

• 2 years In crisis or acute care.

• Experience with benefit authorization, insurance systems, and utilization review.

Why Join Providence?

Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.

About Providence

At Providence, our strength lies in Our Promise of “Know me, care for me, ease my way.” Working at our family of organizations means that regardless of your role, we’ll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.

The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

Check out our benefits page for more information about our Benefits and Rewards.

About the Team

Providence has been serving the Pacific Northwest since 1856 when Mother Joseph of the Sacred Heart and four other Sisters of Providence arrived in Vancouver, Washington Territory. As the largest healthcare system and largest private employer in Oregon, Providence is located in areas ranging from the Columbia Gorge to the wine country to sunny southern Oregon to charming coastal communities to the urban setting of Portland.

Our award-winning and comprehensive medical centers are known for outstanding programs in cancer, cardiology, neurosciences, orthopedics, women's services, emergency and trauma care, pediatrics and neonatal intensive care. Our not-for-profit network also provides a full spectrum of care with leading-edge diagnostics and treatment, outpatient health centers, physician groups and clinics, numerous outreach programs, and hospice and home care.

Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement.

Requsition ID: 271312
Company: Providence Jobs
Job Category: Social Services
Job Function: Clinical Care
Job Schedule: Part time
Job Shift: Day
Career Track: Clinical Professional
Department: 5005 PMH PSYCH SENIOR
Address: OR Portland 4805 NE Glisan St
Work Location: Providence Portland Medical Ctr-Portland
Pay Range: $32.98 - $52.20
The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

Check out our benefits page for more information about our Benefits and Rewards.