Utilization Management Coordinator

Houston Behavioral Healthcare Hospital (HBHH) is unique in so many ways. Our facility is located in a serene, picturesque setting within the Spring Branch District of West Houston. We have highly qualified caring staff ready to provide exceptional service.

The team at Houston Behavioral Healthcare Hospital strives to be the leaders in Behavioral Health by delivering quality services to those entrusted in our care. By embarking on a path with our community and ensure Compassion, Acceptance, Respect, Empowerment, and Sincerity with each step we take together.

Houston Behavioral Healthcare Hospital (HBHH) currently has an opening for Fulltime Utilization Management Coordinator.

The Utilization Management Coordinator will report to the Director of Utilization Review and will be responsible to provide quality case management services to all patients and their families, to serve as a member of interdisciplinary team supporting the organization's treatment program and philosophy, and assure the deliverance of quality treatment to patients and their families.

Duties

• Assists with collecting information from patients and families that will help to develop treatment and discharge plans.
• Develops and coordinates an individualized discharge plan for the patient by utilizing treatment team and written chart information to determine the patient's aftercare needs.
• Coordinates with physician individualized discharge planning for patients.
• Conducts reviews and other communications and documentation as required by payor standards to obtain necessary certification to maximize reimbursement.
• Act as the liaison for both internal and external reviewers.
• Helps to complete aftercare appointments that are within seven (7) days of discharge.
• Other duties as assigned

Knowledge, Skills and Abilities:

• Basic understanding of human anatomy, specifically musculoskeletal
• Proficient use of CPT and ICD-10 codes
• Excellent computer skills including Excel, Word, and Internet use
• Excellent organizational skills
• Plans and prioritizes to meet deadlines
• Excellent customer service skills; communicates clearly and effectively.
• Ability to multitask and remain focused while managing a high-volume, time-sensitive workload

Job Types: Fulltime

Schedule: Fulltime

• Monday-Friday
• 8am-4pm

Requirements

Bachelors Degree in social work, Psychology or related field, preferred.

1 year experience in a medical related field and/or prior authorization experience preferred.

Experience in a Psychiatric setting.

Knowledge of healthcare service delivery systems, and third party reimbursement.

Knowledgeable of Managed Care Environment.

Reliable and flexible.

Great customer service and team player.

Benefits

401-K Plan

Medical, Dental and Vision