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Come join SUN Behavioral Houston, where our mission is to partner with communities to solve the unmet needs of those who suffer from mental illness and substance use disorders. We are a free-standing psychiatric hospital that operates 24/7 that provides a full continuum of specialized care, including inpatient and day hospital services, and offer specialized programs for children, adolescents and adults. As a member of SUN Behavorial's diverse team of professionals, you will be provided meaningful employment and a supportive culture. For more information, visit www.sunhouston.com.
Work Schedule: Variable
Location: 7601 Fannin St, Houston, Texas. 77054
FTE: PRN, Non-Exempt
What We Offer:
Position Summary:
Responsible for the coordination of case management strategies pursuant to the Case Management process. Assists and coordinates care of the patient from pre-hospitalization through discharges. Responsible for assisting with authorization of admissions to hospital. Processes retroactive reviews and appeals, copies needed documentation and writes retro/appeal letters for insurance companies to ensure coverage for patient admissions. Conducts follow up calls with insurance companies to ensure coverage for patient admissions. Participates in performance improvement activities. Attends 80% of staff meetings. Coordinates care for patient through communication with Physicians, Nurse Practitioners, Clinical Services, Nursing, Assessment and Referrals Department.
Position Requirements:
Position Responsibilities:
Clinical / Technical Skills (40% of performance review)
Safety (15% of performance review)
Teamwork (15% of performance review)
Integrity (15% of performance review)
Compassion (15% of performance review)
Other
Ambulatory Healthcare Services
$64k-89k (estimate)
04/20/2024
06/18/2024
sunbehavioral.com
COLUMBUS, OH
100 - 200
2014
MARK CREAMER
$50M - $200M
Ambulatory Healthcare Services
SUN Behavioral Health partners with communities to solve their unmet needs for behavioral health services. We improve psychiatric services for communities by providing compassionate and respectful care to save lives and enhance the quality of life for our patients and their families. We work closely with medical and surgical hospitals, physicians and behavioral health care providers as well as local schools and community organizations to ensure that our hospitals provide our patients and their families with a seamless continuum of care that meets the highest standards of personalized treatment.... We support positive social activities that improve the health and well-being of those communities we serve.
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The job skills required for Utilization Management Specialist I include Managed Care, Mental Health, Psychiatric, Utilization Management, Case Management, Discharge Planning, etc. Having related job skills and expertise will give you an advantage when applying to be an Utilization Management Specialist I. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Utilization Management Specialist I. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Utilization Management Specialist I positions, which can be used as a reference in future career path planning. As an Utilization Management Specialist I, it can be promoted into senior positions as an Utilization Review Manager - Home Care that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Utilization Management Specialist I. You can explore the career advancement for an Utilization Management Specialist I below and select your interested title to get hiring information.