What are the responsibilities and job description for the Utilization Review (UR) Coordinator position at communicarehealth?
Job Address: 10270 Blacklick - Eastern Road NW Pickerington, OH 43147 New Vista Health and Wellness is currently recruiting a Utilization Review Coordinator for our team in Columbus OH! WHO WE ARE The New Vista mission: Inspiring Hope, Restoring Peace of Mind, Healing Lives. At New Vista, our passionate and highly trained team of professionals inspires hope and delivers holistic care to those in need of behavioral health services in a contemporary and healing environment – one that is conducive to providing the life skills needed to regain stability and independence. With a blend of group therapy, clinical treatment, and unique surroundings, our beautiful healthcare centers provide a safe, serene, healing environment for adults and seniors with a variety of complex needs. Our compassionate team members work in a challenging yet rewarding environment where each person is a part of making direct impact on our patient’s lives. COME JOIN OUR TEAM AS UTILIZATION REVIEW COORDINATOR AT SOLERO COLUMBUS! PERKS AT WORK Team Members enjoy a variety of perks in working with the NewVista brand company. We offer competitive market wages along with a full, robust package: Healthcare Life Balance Medical Packages with Rx – 3 Choices Flexible Spending Accounts (FSA) Dependent Day Care Spending Accounts Health Spending Accounts (HSA) with a company match Dental Care Program – 2 choices Vision Plan Life Insurance Options Accidental Insurances Paid Time Off Paid Holidays Employee Assistance Programs 401k with a Company Match Education Leadership Development Up to $15,000 in Tuition Reimbursements OR Student Loan forgiveness Handle with Care Trainer – Certifications Recognition Rewards On the spot recognition Prizes Team Member of the Quarter Team Member of the Year Monthly Celebrations Team Member Recognition Cards Education High school diploma or GED (Required) Bachelor’s Degree in Nursing, Social Work, Mental Health/Behavioral Sciences, or related field preferred. Previous Utilization Review experience in a behavioral healthcare facility preferred. JOB RESPONSIBILITIES As Utilization Review Coordinator, you will : Obtain initial authorizations and provide discharge notifications for inpatient and outpatient behavioral health treatment. Coordinate authorization information with third party payors in a timely manner. Complete thorough and accurate documentation in all required systems. Maintain communication system based on documentation and verbal exchange regarding treatment with other UM staff and staff at the facilities as needed. Reports appropriate denial and authorization information to designated resource. Assist UM Specialists in scheduling and following up on results of Peer to Peer requests for physicians and CNP. Provide support to the UM Specialists. Skills: Ability to multi-task Strong organization skills Strong problem-solving skills Ability to work well independently and as a part of a team Qualified candidates, apply now for a chance to join our outstanding team as we Inspire Hope, Restore Peace of Mind, and Heal Lives. NewVista Behavioral Health is a forward-thinking development and operating company of behavioral health hospitals, substance abuse rehabilitation centers, behavioral health providers and transport operators, as well as outpatient telehealth solutions. The NewVista mission is to inspire hope and deliver holistic care in a contemporary and healing environment. One that is conducive to providing the life skills needed to regain stability and independence, utilizing a passionate and highly-trained team of professionals.