UTILIZATION MANAGEMENT COORDINATOR in Cypress, CA at Beacon Health Options

Date Posted: 4/14/2018

Job Snapshot

Job Description

ABOUT THE POSITION

We are currently seeking a dynamic Utilization Management Coordinator to join our team at our office in Cypress, CA.  Utilization Management Coordinator responsible for completing triage assessments to determine patient risk and appropriate level of care based on the medical necessity review as well as, performing ongoing utilization review, authorization for all higher levels (IP, RTC, PHP, IOP) of care (both psychiatric and substance use treatment.)

 Position Responsibilities:

  • Responds to and completes urgent/emergent assessment and triage for members in accordance to Beacon/CHIPA/Regulatory standards and guidelines.
  • Logs on to phone queue and remains available to take calls from members, providers and facilities to answer any questions relating to utilization management.
  • Completes pre-certification and concurrent reviews for Inpatient, Residential Treatment and Diversionary services according to clinical criteria and CHIPA/regulatory guidelines.
  • Maintains a caseload of care cases for review (IP, RTC, PHP, IOP)
  • Schedules and complete chart reviews with a physician advisor when indicated.
  • Provides pertinent and relevant treatment and discharge plan recommendations to assist with member’s care
  • Requests copies of medical record when indicated
  • Coordinates care for members with other treatment team members including case management team when indicated
  • Schedules peer to peer review with a physician advisor according to guidelines and when indicated.
  • Participate in weekly clinical rounds with interdisciplinary team, physician advisor and/or clinical supervisor/manager.
  • Documents all authorizations and clinical notes in member file in the appropriate information system (IS)
  • Completes retrospective reviews as assigned by UM Supervisor or Manager.
  • Notifies Director of Utilization Management, Manager of Utilization Management and UM Supervisor of any quality indicators/concerns (PQI) including untoward event/incidents.
  • Adheres to all Beacon/CHIPA policies and procedures and standards of operations.
  • Completes all required and assigned trainings in a timely manner
  • Attend and participate in all mandatory company and department meetings.
  • Reports to each scheduled shift and performs essential job functions of a utilization management clinician.
  • Performs special projects and other duties as assigned and required.
  • Has a good understanding to UM Guidelines, Level of Care Criteria, UM Policies and Procedures, and NCQA/ URAC standards.

Position Requirements:

Education: Minimum AA degree or equivalent in nursing or Bachelor’s Degree in human services, psychology or related field

Licensure:  Valid state clinical license (LPT, LVN, RN, LCSW, MFT, PhD)

Relevant Work Experience:   Minimum of five (5) years of combined direct behavioral health clinical and managed care experience

Knowledge, Skills & Abilities:

  • Minimum 5 years of direct patient services preferably in a behavioral health setting
  •   Knowledge of medical necessity criteria and treatment protocols for psychiatric and chemical dependency diagnoses 
  •   Excellent prioritization and organization skills
  •   Strong interpersonal skills and good written and verbal communication skills
  •   Advanced level of PC skills required

 TO APPLY

Click below on “Apply for this Position” to create a profile and apply for the position

Beacon Health Strategies, LLC., a Beacon Health Options company, is proud to be an Equal Opportunity Employer as well as a Drug Free Work Environment. EOE/M/F/Veterans/Disabled

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